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Application Form for export of Red Sanders wood (Pterocarpus santalinus) and Sandalwood (Santalum album) by SEZ Units (Para 2.72 of HBP)

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..... of items applied for export S No Item Description ITC(HS) Code Quantity in MT/Kg. FOB Value In Rupees In US$ In local currency 5A. Details of Certificate of Origin (COO) for export of Red Sanders wood (Pterocarpus santalinus) and Sandalwood (Santalum album) and CITES certificate in respect of export to Red Sand( rs wood (to be issued by concerned authority), as applicable Sl.No. C.O.O. No. Date Issuing authority Sl.No. CITES Certificate No. (as applicable Date Issuing authority 6. Details of exports made of the item applied for in the preceding 3 years (1st April - 31st March) S.No Year Details of permission and exports Quantity Exported FOB Value of Exports (US $) Export Destination Ref. No Date Qty Value (US $ .....

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..... o time): (i) The Customs Act, 1962, (ii) The Central Excise Act 1944, (iii) Foreign Trade (Development & Regulation) Act 1992, as amended, and (iv) The Foreign Exchange Management Act, 1999; (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 (vi) Weapons of Mass Destruction & their Delivery Systems (Prohibition of Unlawful Activities) Act, 2005 B. None of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm HUF/Trust, (as the case may be), is/are a Director(s) / Partner(s) / Proprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT or is in the caution list of RBI; C. neither the Registered Office of the company / Hea .....

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..... e : Date Signature of the Applicant Name Designation Official Address Flat Plot/Block No Street /Area/Locality City State Pin Code Telephone No. Country Code----- Area code----- Phone number ----- -- -- Mobile No. Fax No. -- -- Email Date Place Note: Each page of application has to be signed and stamped. GUIDELINES FOR APPLICANTS Please see Paragraph 2.72 of HBP 1. Two self attested hard copies of the application in ANF 2 N(a) must be submitted to Export Cell, Directorate General of Foreign Trade (HQ), H-Wing, Udyog Bhawan, Maulana Azad Road, New Delhi110011. 2. In case fee is submitted electronically, proof of submission of fee must be accompanied. 3. Each page of the application has to be signed by the applicant .....

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