Format of ANF 3F (for Incremental Export Incentivisation Scheme) - DGFT - 13/2009-2014 (RE- 2013)

(To be published in The Gazette of India Extraordinary Part-I-Section-1) Government of India Ministry of Commerce Industry Department of Commerce Directorate General of Foreign Trade Udyog Bhawan, New Delhi. Public Notice No. 13/2009-2014 (RE- 2013) The 17 th May, 2013 Subject: Format of ANF 3F (for Incremental Export Incentivisation Scheme). In exercise of the powers conferred under Paragraph 2.4 of the Foreign Trade Policy, 2009-14 , the Director General of Foreign Trade hereby makes an amendment in the Handbook of Procedures, Vol.I, (Appendices and Aayat Niryat Forms). 2. Paragraph 3.8.3 (b) of Public Notice 41(RE 2012)/2209-14 dated 28.12.2012 had mandated filing of applications for incremental export during the period 1.1.2013-31.3.2013 vis- -vis 1.1.2012-31.3.2012 in ANF 3F. 3. This Aayat Niryat form (ANF 3F) as given in annexure to this Public Notice will be required to be filled up for claiming benefits of Incremental Export Incentivisation Scheme. Effect of Public Notice: ANF3F for claiming benefit of Incremental Export Incentivisation Scheme is being notified. (Anup K. Pujari) Director General of Foreign Trade E-mail: [email protected] (F. No. 01/61/180/188/AM13/PC-3) Annexure to Public Notice No.13 dated 17.5.2013. ANF 3F For Incremental Export Incentivisation Scheme applications (for exports during 1 st Jan-31 st March 2013 vis-a-vis 1 st Jan-31 st March 2012) (Please note that export shipments from all EDI ports can be filed in one application while for export shipments from each Non-EDI ports, separate application is required to be filed. Such applications have to be filed in same RA.) 1. Applicant Details [Company /firm] I. IEC Number ii. Name iii. Address House Number/Site Number/Block Number: _______________________________________ Locality/Street Detail/Area Detail: _______________________________________________ District Detail:_______________________________________________________________ Indicate State and PIN Code ___________________________________________________ iv. Telephone No. Alternate telephone no: v. Email id. ________________@ _______________ Alternate email id:_________________@ __________________ 2. Export Performance [ In US$] Export during FY 2011-12 Export during FY 2012-13 Incremental growth absolute terms growth In % terms 3. Export Eligibility (To eligible destinations i.e. USA, Europe Asia) detailed list is inserted in the last which is part of the form)* 2011-12 ( 1 st Jan-31 st March 2012) 2012-13 ( 1 st Jan-31 st March 2013) Incremental growth Entitlement @ 2% in US Dollar In Rupees This is for reference 4. Port of Registration (for purpose of Imports): 5. In case, split certificates are required, then please indicate number of Split Certificates required (in multiples of Rs 5 lakhs each): DECLARATION/UNDERTAKING 1. I hereby declare that particulars and statements made in this application are true and correct and nothing has been concealed or held therefrom. I fully understand that any information furnished in application if found incorrect or false will render my firm / company and me liable for any penal action or other consequences as may be prescribed under FTDR Act or under any other law or otherwise warranted. Place: ________________ Telephone No. _______________(Personal) Signature: _ _________________________ Date: _________________ e-mail: _____________________(personal) Name: _____________________________ Documents to be submitted Designation: ________________________ CA Certificate certifying the exports for 2011-12 and 2012-13 to specified markets. CA will also certify incremental exports for each quarter as per annexure to ANF 3F Telephone No. ____________________(Official) e-mail: __________________________(Official) * List of countries in the eligible destinations: Destination Destination (Europe) Destination (Asia) USA (i) Albania (ii) Andorra (iii) Armenia (iv) Austria (v) Azerbaijan (vi) Belarus (vii) Belgium (viii) Bosnia Herzegovina (ix) Bulgaria (x) Croatia (xi) Cyprus (xii) Czech republic (xiii) Denmark (xiv) Estonia (xv) Finland (xvi) France (xvii) Georgia (xviii) Germany (xix) Greece (xx) Hungary (xxi) Iceland (xxii) Ireland (xxiii) Italy (xxiv) Kosovo (xxv) Latvia (xxvi) Liechtenstein (xxvii) Lithonia (xxviii) Luxembourg (xxix) Macedonia (xxx) Malta (xxxi) Moldova (xxxii) Monaco (xxxiii) Montenegro (xxxiv) The Netherlands (xxxv) Norway (xxxvi) Poland (xxxvii) Portugal (xxxviii) Romania (xxxix) Russia (xl) San Marino (xli) Serbia (xlii) Slovakia (xliii) Slovenia (xliv) Spain (xlv) Sweden (xlvi) Switzerland (xlvii) Turkey (xlviii) Ukraine (xlix) United Kingdom (l) Vatican City (Holy See) (i) Afghanistan (ii) Bahrain (iii) Bangladesh (iv) Bhutan (v) Brunei (vi) Cambodia (vii) China (viii) East Timor (ix) Indonesia (x) Iran (xi) Iraq (xii) Israel (xiii) Japan (xiv) Jordan (xv) Kazakhstan (xvi) Korea North (xvii) Korea South (xviii) Kuwait (xix) Kyrgyzstan (xx) Laos (xxi) Lebanon (xxii) Malaysia (xxiii) Maldives (xxiv) Mongolia (xxv) Myanmar (Burma) (xxvi) Nepal (xxvii) Oman (xxviii) Pakistan (xxix) Palestine (xxx) The Philippines (xxxi) Qatar (xxxii) Saudi Arabia (xxxiii) Sri Lanka (xxxiv) Syria (xxxv) Taiwan (xxxvi) Tajikistan (xxxvii) Thailand (xxxviii) Turkmenistan (xxxix) Uzbekistan (xl) Vietnam (xli) Yemen ANNEXURE TO ANF 3F (Annexure needs to be certified by a Chartered Accountant) 1. Details of export made during the period 1 st Jan-31 st March 2012 S No SB no SB date Date of Let Export BRC No BRC date Destination country ITC(HS) code Item Description FOB Value in free foreign exchange (Inclusive of commission) Exchange Rate on date of let export FOB Value (in Rs) (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) 2. Details of export made during the period 1 st Jan-31 st March 2013 S No SB no SB date Date of Let Export BRC No BRC date Destination country ITC(HS) code Item Description (1) (2) (3) (4) (5) (6) (7) (8) (9) FOB Value in free foreign exchange (Inclusive of commission) Exchange Rate on date of let export FOB Value (in Rs) Incremental growth 2(10) 1(10) ( in US $) Incremental growth 2(12) 1(12) (in Rupees) Entitlement (2%)(without cut) (in Rupees) Cut applicable (if any) (in %) Entitlement (in Rupees) (10) (11) (12) (13) (14) (15) (16) (17) Signature of applicant:____ ________________ Name: _________________________________ Designation :____________________________ Address, Tel no email____________________ ____________________ Date: _________________________________ CERTIFICATE (To be issued by Chartered Accountant) This is to certify that: 1. I am the official auditor of the firm / not the official auditor of the firm. 2. I have personally verified .no. of shipping bills /_____ Let Export Date / BRC details / destination country and the item description as annexed to ANF3F. 3. The IEC holder has an incremental growth in exports (in free foreign exchange) during the year 2012-13 with respect to total exports eligible as compared to the year 2011-12 to specified markets. 4. I have verified the destinations which are eligible for benefit under Incremental Export Incentive Scheme from the shipping bills and also I have examined the proof of landing of each export consignment in specified market as per the documents prescribed under para 3.8.2 of Handbook of Procedures Vol. I. 5. Based on these I hereby certify that there is an incremental exports of (%) in free foreign exchange, under this Scheme and the firm is entitled for incentive under this scheme. Signature............................ Name Registration No .. Address . Seal: . Place: Tel. No .. Date: Email .