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Application Form to apply for the Scheme for Rebate of State Levies (RoSL) as notified in the para 4.97 and 4.98 of the Handbook of Procedures 2015-20

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..... 3. In the online module: i. Commission amount of upto 12.5% of FOB value would be counted for calculation of entitlement under RoSL and any excess beyond 12.5% shall not be counted for calculation of Rebate amount. The exporter may note that they should fill the Commission, insurance and freight amounts in the online e-BRC repository module before linking the e-BRCs with the Shipping bills. ii. The exporters must fill the above values if the amounts under Commission, Insurance and Freight have been included in the realized value in the relevant e-BRC in the e BRC repository. iii. The system would calculate the rebate after adjusting the values as above from e BRC and would issue rebate on such adjusted e-BRC or FOB whichever is .....

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..... each): 5. Port of Registration for the purpose of imports. (The port of registration shall be one of the EDI ports from which exports have taken place) 6. Declaration / Undertaking 1 I/We hereby certify that : A. the entity for whom the application has been made have not been penalized/ have been penalized (choose as applicable) 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 (vi) G .....

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..... t shipping bills, including in cases of disputes, shall apply mutatis mutandis to the rebate issued under RoSL scrip. I also understand that if Drawback claimed on the shipping bills [for which RoSL under scrip mechanism is issued to me through this application] gets reduced / reversed by the CBIC (Central Board of Indirect Taxes and Customs) in future, I would surrender the proportionate excess amount already received under RoSL scrip suo-motu. 5 I have gone through the para 3.06 (b) of the HBP 2015-20 and am submitting this instant ROSL application to my jurisdictional Regional Authority as per Appendix 1A. 6 I hereby declare that I have read the provisions of the .....

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