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

APPENDIX 39A - Appendix - DGFT - APPENDIX 39A - 1[APPENDIX 39-A APPLICATION FOR FREE SALE & COMMERCE CERTIFICATE FOR ITEMS OTHER THAN MEDICAL DEVICES/INSTRUMENTS 1. Name of the firm / Company : 2. Address of Registered Office : (i) Tel No : (ii) Fax No : (iii) e.mail ID 3. 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. Br .....

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olate any of the provisions of the laws/Acts established by any of the Ministries/Departments/Offices of the Central/State Governments; and We further undertake to abide by any of the provisions under FTP, FT(D&R) Act, 1992 or any other law established by any of the Ministries/Departments/Offices of the Central/State Governments relating to export of these items. (Signature) Name & Designation of the Authorized Signatory Seal of the Company DECLARATION / UNDERTAKING 1. I / We hereby decl .....

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es and Orders framed there under, FTP, HBP v 1 and HBP v 2 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 .....

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therwise been made ineligible for undertaking import / export under any of the provisions of the Policy. 5. I / We hereby declare that I / We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority. 6. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the .....

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