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APPLICATION FORM FOR SETTING UP OF NEW EOU/EHTP/STP/BTP UNIT OR CONVERSION OF EXISTING DTA/ EHTP/ STP/BTP UNIT

DGFT - ANF-6A - ANF-6A Note: 1. Please see Paras 6.01 (a), (b) and (c) of the Chapter 6 of the HBP. 2. Please read the general instructions given in EOU scheme before filling this application and also some important guidelines given at the end of this application. 3. The application may be sent electronically or otherwise. However the same will be treated as incomplete without the applicants own permanent e-mail and will not be considered. The application should be submitted to the Development C .....

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_________Month____________Year __________ Details of Bank Draft Amount Rs. ___________________ Draft No. ___________________ Draft date ___________________ Drawn on ___________________ (Name of the Bank) Payable at ____________________ - Indicate (√ ) Whether the Application Is For: AUTOMATIC APPROVAL Or BOARD OF APPROVAL Application for: (i) Setting up of new Unit (ii) Conversion of existing DTA unit into EOU (iii) Conversion of Existing STP/EHTP to EOU (In case of conversion, please atta .....

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___________ Passport No., if any _________________________________ Name of Bank with Address & A/c No. _________________________________ Digital Signature _________________________________ Income Tax PAN _________________________________ The name and address of each _________________________________ of the Director/Partner II. NATURE OF THE APPLICANT FIRM: [Please tick (√ ) the appropriate entry] Government Undertaking/Public Limited Company/Private Limited Company/Proprietor ship/Part .....

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________________________ Pin code __________________________ (2) ONLY FOR PROJECTS UNDER EOU SCHEME (In case the unit is proposed to be located on leased premises, then lease should be obtained from Government or any undertaking / authority of Government. However in case lease is obtained from private parties, it shall have a validity period of five years from the date of LUT and the Development Commissioner shall satisfy himself of genuine nature of the lease.) (a) Please indicate if the propos .....

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Yes_____________No. _____________ (d) If not, does it come under the category of non-polluting industries as notified by the Govt. Yes ___________ No. _______________ V ITEM (S) OF MANUFACTURE/SERVICE: (Including By-product/Co-products) (if necessary, additional sheets may be attached) Items(s) Description Capacity (Unit =) Item Code (ITC HS code No) (Not required for service unit) - V-A Intermediate Products, if any, which are to be taken out for job work abroad as part of production process. .....

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________________ 3rd year ___________________ __________________ 4th year ___________________ __________________ 5th year ___________________ __________________ VII. Indigenous Requirement: (Value in Rupees) a) Capital Goods b) Raw material, components, consumables, packing material, fuel etc. during the period of 5 years TOTAL: - VIII. FOB VALUE OF EXPORTS (1 $ = Rs. ) Rupees (lakhs) US $ (Thousand) 1st year 2nd year 3rd year 4th year 5th year Total: IX. INVESTMENT: (RS. IN LAKHS) (a) Land ____ .....

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d Address of foreign collaborator ____________________ (ii) Terms of collaboration (Rupees lakhs) (Gross of Taxes) (a) Lumpsum payment _____________________ (b) Design & Drawing fee _____________________ (c) Payment to foreign technician _____________________ (d) Royalty (on exports) ____________________% (e) Royalty (on DTA sales if envisaged) ____________________ (f) Duration of agreement ________________(No .of years) XI. EQUITY INCLUDING FOREIGN INVESTMENT (i) ($ Thousand) (Rs.lakhs) (a) .....

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_________________ (ii) Non-repatriable _____________ ___________________ (c) Resident holding _____________ ___________________ (d) Total (a+b (i+ii)+c) equity _____________ ___________________ (e) (iii) External commercial Borrowing ______________ ___________________ Foreign Exchange Balance sheet: 1st 2nd 3rd 4th 5th (5 yrs) Total in Rs. Lakh (5 Yrs) Total in US $ Th. XII. FOB value of exports in first five years XIII. Foreign Exchange outgo on (I) Import of machinery (ii) Import of raw materi .....

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)to(xiii) Net Foreign Exchange earnings in five years XIV. REJECTS (Only for EOU manufacturing units.) Generation of Rejects/Sub-standard finished goods __________ __________________ (percentage of 5 yrs production) (Qty.(Unit = ) Goods (In case rejects are more than 5% estimated percentage with justification may be given __________________ ________________ Value (Rs. Lacs) XV. EMPLOYMENT (All figures in number) Existing Proposed - a) Supervisory Men _______________ _______________ Women________ .....

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ecial features of the project proposal which you want to highlight _________________ (please attach the project report, for new units) ii)(a) Whether the applicant has been issued any Industrial license or LOI/LOP under EOU/ STP/EHTP scheme if so, please give full particulars especially reference number, date of issue, items of manufacture and progress of implementation of each project. _____________________________________ (b) Whether the applicant has submitted any other application for LOI/LO .....

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7/Foreign Trade (Development and Regulation) Act, 1992, as amended / FEMA / Custom/Central Excise Act. ______________________________________ Place :_________ Signature of the Applicant __________________ Date :________ Name in Block Letters __________________ Designation ___________________ Official Seal/Stamp________________ Tel. No. ___________________ e-mail ___________________ Web-Site, if any ___________________ Full Residential Address_________________ DECLARATION / UNDERTAKING 1. I/We he .....

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tor(s) / Karta / Trustee in any other firm / Company which is on the Denied Entity List (DEL) of DGFT; C. neither the Registered Office / Head Office of the firm / company nor any of its Branch Office(s)/ Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy; D. we have not obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office o .....

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de by any other condition, which may be stipulated by the concerned Development Commissioner. I/We fully understand that any Permission Letter granted to me/us on the basis of the statement furnished is liable to cancellation or any other action that may be taken having regard to the circumstances of the case if it is found that any of the statements or facts therein are incorrect or false. An affidavit duly sworn in support of the above information is enclosed. 4. I/We fully understand that any .....

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olicy Place:__________ Signature of the Applicant _________________ Date:___________ Name in Block Letters _________________ Designation _________________ Official Seal/Stamp _______________________ Full Official address _________________ Tel. No. _________________ e-mail Address _________________ Web-Site _________________ Full Residential address __________________ Tel. No __________________ SOME IMPORTANT GUIDELINES 1. Additional Information may be furnished by existing domestic units seeking .....

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