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Amendment of ANF 3C – Application for on line filing of Grant of Status Certificate

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..... e to Public Notice .5 /2015-20 Dated 3rd May 2016 ANF- 3C Application for on line filing of Grant of Status Certificate (Kindly read Para3.20 to 3.24 of FTP and Para 3.18 to3.23 of HBP ) Part A 1. Applicant Detail IEC Number Branch Code Name Address Telephone No Email ID 2. Application Details Application For Submission Date Submitted To Part B 3. Category of Status applied for: please tick) ( ) a) One Star Export House b) Two Star Export House c) Three Star Export House d) Four Star Export House .....

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..... A. the entity for whom the application has been made have not been penalized under any of the following Acts (as amended from time to time): (i) The Customs Act, 1962, (ii) The Central Excise Act 1944, (iii) Foreign Trade (Development Regulation) Act 1992, (iv) The Foreign Exchange Management Act,1999; and (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 B. none of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm /HUF/Trust, (as the case may be), is/are a Director(s) / Partner(s) / Proprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT; C. neither the Registered Office of the company / Head Office of the firm / nor any .....

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..... State PIN Code Telephone No. Country Code __ Area Code _____ Phone number_______ - - Fax No. - - Email Place: Date: Annexure to ANF 3C CERTIFICATE OF CHARTERED ACCOUNTANT (CA) COST AND WORKS ACCOUNTANT (ICWA)/ COMPANY SECRETARY (CS) I / We hereby confirm that .....

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..... Type of Exports in US $ (FOB / FOR value / Foreign Exchange Earned) Current Year in US $ Previous Year 1 in US $ Previous Year 2 in US $ Previous Year 3 in US $ ( not applicable for Gems and Jewellery Sector ) 1. Exports of goods without Weightage 2. Exports with Double Weightage (As per format A) 3. Exports of services without Weightage(As per Format B ) 4. FOR value converted in US $ for Deemed Exports( As per Format C) 5. Exports of SEZs / EOUs / EHTPs / STPs / BTPs, if clubbing is sought(As per format D 6. Total (in US$) .....

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..... 2 Manufacturing units having ISO/BIS 3 Units located in North Eastern States including Sikkim and Jammu Kashmir 4 Units located Agri Export Zone 5 Total FOB Value in US$ 6. FOB Value of Exports with Double Weightage (US$) = [2 X Total FOB Value of Row 5 above] Format B Certificate of Foreign Exchange Earned by Supply of Service Sl. No. Category of Service Provider Particulars Foreign Exchange Earned US$ in current year Foreign Exchange Earned US$ in previous year 1 Forei .....

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..... Format D Exports from SEZs / EOUs / EHTPs / STPs / BTPs units which are included in IEC and is taken for calculation of grant of status Sl. No. Names of Exporting Units FOB value in US $ in current year FOB value in US $ in previous year 1 FOB value in US $ in previous year 2 FOB value in US $ in previous year 3 (not applicable for Gem and Jewellery Sector) 1 2 3 4 5 1 SEZs 2 EOUs 3 EHTPs 4 STPs 5 BTPs .....

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