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APPLICATION FOR FREE SALE & COMMERCE CERTIFICATE FOR ITEMS OTHER THAN MEDICAL DEVICES/INSTRUMENTS

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..... Importer Exporter Code No : (i) Code No. (ii) Name Address of issuing authority 4. Registration -cum-Membership Certificate (RCMC ) details : (i) Name of the Council (ii) Registration No and date (iii) Validity 5. Brief Description of exports : (i) Details of foreign buyer with complete address, e.mail ID etc. (ii) Brief description of items to be exported under the certificate 6. Details of items for which Free Sale Commerce .....

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..... and ITC (HS) . 4.a. I / We hereby certify that the firm / company for whom the application has been made has not been penalized under Customs Act, Excise Act, FT (D R) Act 1992 and FERA / FEMA. b. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT. c. I / We hereby certify that the Proprietor / Partner(s) / Director(s) / Karta / Trustee, as the case may be, of the firm/company is / are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution .....

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..... ce: Date: Name Designation Official Address Telephone Residential Address Email Address Note: This form with Annexure-A may be submitted without other parts of the Aayat Niryat Form. Annexure - A Proforma for Submission of list of Products (May be clearly typed) S.No. Name of Product ITC (HS) Code Manufacturers / Exporters name and address Is the product licensed under the provisions of the laws / Acts established by any of the Ministries / Departments / Offices of the Central / State Governments for manufacture and sale, and if so please specify Description of the product including use .....

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