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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..... 2 Applicant details (i) Name (ii) Address 3 Application submission details (i) Reference Number date (ii) Name of jurisdictional SEZ authority and details of submission of application (iii) File Number (iv) Date of issue 4 Application fee details Amount (Rs) .....

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..... 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 (1 st April - 31 st March) S. No Year Details of permission and exports Quantity Exported FOB Value of Exports (US $) Export Destination .....

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..... osed to be exported to each of the buyers) i. Name ii. Address 9. Shipment Details i. Port (s) of Loading ii. Port(s) of Discharge iii. Country (ies) of Export 10. In case of export of samples/exhibits/gifts/, please furnish i. Ceiling Limit ii. How much in excess of Ceiling Limit iii. Justification for Excess 11. In case of export by post, please furnish details of postal authorities where the parcel will be placed for export 12. Any other relevant information .....

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..... FT or is in the caution list of RBI; C. neither the Registered Office of the company / Head Office of the firm / nor any of its Branch Office(s)/ Unit(s)/ Division(s) has been declared a defaulter 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. 5. I / We hereby declare that I / We have neither obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional .....

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..... phone No. Country Code----- Area code----- Phone number ----- -- -- Mobile No. .....

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