APPLICATION FOR EXPORT OF SAMPLES OR EXHIBITS/GIFTS /SPARES /REPLACEMENT GOODS OTHER THAN SCOMET ITEMS

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..... 3. Description of item Item ITC(HS) Code Quantity in MT FOB Value in INR 4. Destination of export (please specify the name of the recipient and destination) .....

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..... to abide by the provisions of the FT (D R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP, Appendices and Aayat Niryat Forms and ITC (HS). (xii) I/We hereby certify that: A. The entity for whom the application has been made has not been penalized under any of the following Acts (as amended from time to time): a. The Customs Act, 1962, b. The Central Excise .....

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..... ter and has otherwise been made ineligible for undertaking import / export under any of the provisions of the Policy; D. we have neither obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office to any other Licensing Authority. (xiii) I / We hereby declare that I / We have neither obtained nor applied for such benefits (including iss .....

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..... orders made there under, and the Customs Act, 1962. (xvi) I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.6 of the Policy. Signature of the Applicant Name Designation Official Address Flat/Plot/Block No. .....

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