Application for Policy Relaxation Committee

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..... tity Branch Address Applicant Name IEC Number Scheme Name Request of the firm Entity Name Email-id Mobile Number File Number Application Type Amount paid Application Number Reason/Justification Whether any .....

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..... Mobile Number Name of the Firm/Company Authorisation Details Sr. No EPCG Authorisation Number Authorisation Type Scheme Duty Saved Value Allowed (in Rs.) Duty Saved Value Allowed (in FC) Duty Save Based Authorisation Import Validity (Initial) Total EO Period (Date of Expiry) .....

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..... rage Maintained Remarks 1 Declaration: I/we, hereby, declare/certify that: The entity for whom the applicant has been made has not been penalized under any of the following Act 9 (as amended from time to time) The Customs Act,1962, The Central Excise Act 1944, Foreign Trade (Development Regulation) Act 1992, and The Foreign Exchange Management Act, 1999. .....

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..... ithdrawn. I/We hereby declare that 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. I hereby certificate that I am authorized to verify and sign this declaration as per Paragraph 11.06 of the Policy. I/We hereby declare and certify that goods imported against Advance Authorization is available with me/us and has not been sold/transferred. You have ticked the box as acceptance of declaration/ undertaking details. .....

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