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TMI BlogAmendments in Appendix 17D for 2004-05 of the Hand Book of Procedures (Vol.I)X X X X Extracts X X X X X X X X Extracts X X X X ..... ENDIX 17-D Application Form for Target Plus Entitlement for Exports Effected During 2004-05 (Please see paragraph 3.7.1 of the Policy and 3.2.5 of the Handbook). FOR OFFICIAL USE File No.:------------------------------------------- Date:--------------------------------------------------- 1. Name and address 2. I E Code Number 3. Details of Status Certificate a) Status b) Status Certificate 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 Fo ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ble 5A x Applicable Rate as per 5D subject to Cap of 100% as per 5C(ii) above.) 7. Breakup for the Split-up Target Plus Entitlement, if any, requested for: Sl.No. Entitlement Break-up of the Entitlement for split-up 8. Details of the Application Fee : a) Value of DD/TR : b) No. & name of the issuing bank : 9. Port of Registration (for import purpose): ………………………… 10. Details of Exports: Statement of Export (Licensing year-wise): Category of Exports Broad Product category of Items exported FOB value of Exports (n US $ ) (Free Foreign Exchange other than US$ should be converted into US$ as notified by Customs) 2003-2004 2004-2005 A. Direct Export 1. Engineering 2. Chemicals 3. Plastics 4. Leather and Leather Products ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... realized in free foreign exchange during the licencing year 2003-04 and 2004-05. II. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant. III. I/We fully understand that any information furnished in the above statement, 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. IV. I/We further declare that I/We has/have not applied nor obtained another Target Plus Certificate issued under paragraph 3.7.1 of the Policy based on the exports in free foreign exchange during 2003-04 and 2004-05. V. I/We further declare that I/We shall comply with the provisions of the Exim Policy/Handbook ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... declare that in respect of capital goods and/or office equipments, a certificate from jurisdictional Deputy Commissioner Central Excise/Assistant Commissioner of Central Excise or an independent Chartered Accountant, as the case may be, shall be produced confirming installation and use of capital goods and/or office equipments in the importer's factory or premises, within six months from the date of imports or within such extended period as the said Deputy Commissioner of Customs or Assistant Commissioner of Customs may allow." Signature:..................... Name in Block Letters:............................ Designation:............................ Place:............................ Date ................... Full Official Address:. ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... h the relevant register and records; the same has been incorporated 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 part ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... E Code Number :................................................ 3. Status : One/ Two/ Three/ Four/Five Star Export House 4. Credit value of the Target Plus Entitlement (in rupees lakhs) : 5. Credit value utilised (in rupees lakhs) : 6. Details of imports made under the Target Plus entitlement: Sl.No. Description of import item Effective Customs duty (in %age) Value debited (in rupees lakhs) (1) (2) (3) (4) 1. 2. 3. 4. DECLARATION 1. I/We further certify that I/We am/are authorised to verify and sign the statement on behalf of the applicant. 2. I/We fully understand that any information furnished in the above statement, if proved incorrect or false, will render me/us liable to face any penal action or other consequenc ..... X X X X Extracts X X X X X X X X Extracts X X X X
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