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Amendments in Appendix 17D for 2004-05 of the Hand Book of Procedures (Vol.I)

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..... tificate Number c) Date of Issuance d) Valid upto 1/2/3/4/5 Star Export House / EH/TH/STH/SSTH 4(A) RCMC No. and date 4.(B). Name of the Group Companies : SN Names of the Group Company Eligible Export turnover (Rupee in Crores) 2003-04 2004-05 1 2 3 Total Group turnover If the applicant is part of a Group company as defined in Chapter 9 of Foreign Trade Policy, Entitlement will be adjusted in terms of Para 3.7.4 of Foreign Trade Policy. 5A. Details of Exports: S.No. Categories FOB Value of Exports in US $(Free Foreign Exchange other than US$ should be converted into US$ as notified by Customs) 2003-04 2004-05 US $A Rupee*B US $C Rupee*D 01. Annual Export Turnover 02. Exports made in categories (a to g)mentioned at Sr. No.VI of thedeclaration appended hereto 03. Third Party Exports not covered by Sr no VII of the decl .....

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..... Total B Eligible Third Party Export** 1. Engineering 2. Chemicals 3. Plastics 4. Leather and Leather Products 5. Sports Goods 6. Fish and Fish Products 7. Food Products 8. Handicrafts 9. Electronics 10. Textiles 11. Miscellaneous Total C. Grand Total C = A + B US $ US $ **A separate list for each product group May be attached with names and address of the Associate Mfr /supporting Mfr/job worker * Direct exporter and Supporting manufacturer Entitlement details (Separate sheet to be submitted for direct exporter and each of the supporting manufacturers) Goods allowed to be imported under this scheme shall have a broad nexus with the products exported and a declaration in this regard shall be made by the applicant in Appendix 17D. Name-- Address--- PAN Number Phone No.--- SN .....

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..... under Para 2.35 of the Foreign Trade Policy or exports made through transshipment. (b) Export turnover of units operating under SEZ/EOU/EHTP/STPI/ BTP Schemes or products manufactured by them and exported through DTA units (c) Deemed exports (even when payments are received in Free Foreign Exchange and payment is made from EEFC account). (d) Service exports (e) Rough, uncut and semi polished diamonds and other precious stones (f) Gold, silver, platinum and other precious metals in any form, including plain and studded jewellery. (g) Export performance made by one exporter on behalf of another exporter VII. I/We further declare that in case of third party exports, the export documents viz. Export Order, Invoice, G R form, Bank Realization Certificate are in the name of the applicant only. None of these documents contain any other name along with our name. VIII. I/We undertake that the export performance has not been transferred to or transferred from any other exporter. IX. I/We have not applied for/ taken the benefit of Vishesh Krishi Upaj Yojana for the exports for which I am taking benefit under the Target Plus scheme. X. I/We further declare that in respect of capit .....

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..... ated in the books of accounts maintained by M/s................... and their subsidiaries; and is also true and correct. I/We have verified that in case of third party exports, Export Order, Invoice, GR form, Bank Realization Certificate do not contain 2 names and are in the name of the applicant only . Where goods are procured from a manufacturer, the shipping bill contains the name of the exporter as well as the supporting manufacturer and no other party. iii) It has been ensured that the information furnished is true and correct in all respect; no part of it is false or misleading and no relevant information has been concealed or withheld; iv) Neither I, nor any of my partners is a partner, director, or an employee of the above-named entity or its associated concerns; v) I/we fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted. (* Strike out whichever are not applicable) Signature............................. Place................ Tel.No. ............................ Official Date........... Stamp .....

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