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Application for issue of Advance Authorisation/Annual Advance Authorisation

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..... Date of Issuance Validity Period Issuing Authority Products for which registered Excise/GST Details Branch code Address of the factory / premises where the items to be imported are proposed to be used Excise/GST Registration Number Jurisdictional Central Excise /GST Authority/GST under whose jurisdiction the factory / premises Industrial Registration Details MSME / IEM Registration Number/Udyog Aadhar Number Issuing Authority Date of Issue Products for which registered Co-Licensee Details IEC No. of Co-licensee Branch Code Name of Co-licensee Address of Co-licensee .....

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..... xported / supplied under the Authorisation Export Item Description Quantity UOM FOB / FOR Value (in INR.) FOB / FOR value (in freely convertible currency) ITC (HS) Code Cumulative Export Value Grand Total FOB / FOR value of Exports to be made, excluding commission (In INR.) Grand Total FOB / FOR value of Exports to be made, excluding commission (In currency of imports) Grand Total FOB / FOR value of Exports to be made, excluding commission (In US$) Grand Total FOB / FOR value of Exports to be made, excluding commission (In Freely Convertible currency) Deemed Export Details Please select .....

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..... Total Quantity Invalidated Total Quantity to be imported UOM Type Of Import Total CIF Value (in INR) Total CIF value (in freely convertible currency) Total CIF value Invalidated (in INR) Total CIF value imported (in INR) Supplier Details IEC of Indigenous Producer/Supplier from where items are to be procured Name of Indigenous Producer/supplier Address of Indigenous Producer/Supplier Regional Authority of Indigenous Producer/Supplier Wastage Claimed Import Item serial No Export Serial No Inputs as per Serial No .....

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..... Total production by weight Total Quantity Consumed Attachment Details Attachment Type Remark Attachment Name Bank Guarantee Details Type of Guarantee Unique Document ID Start Date End Date Bank IFSC Code Bank Details Value (In INR) Status DECLARATION / UNDERTAKING I / We hereby declare that: 1. The particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from and if found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. 2. We would abide by t .....

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..... Email Mobile Office Address Residential Address Amount to be Paid: (In INR). 12. DSC / E-Sign Details S.No. E-sign Type Serial Number Signed Date Certificate Type Certifying Authority Common Name Organisation Certificate Issued Date Certificate Expiry Date GUIDELINES FOR APPLICANTS Please see paragraphs 4.04, 4.30, 4.31, 4.32, 4.44 and 4.84 of HBP relevant to the Scheme under which the application is being filed 1. Applicant shall file application online using digital signature only. 2. Where no wastages have been claimed and inputs are taken on net-to-net basis, in such cases, it should be specifically mentioned in relevant column of ANF. For Advance Authorisation: 1. Bank Receipt / EFT / Credit Card details evidencing payment of application fee in terms of Appe .....

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