Application Form to apply for the Scheme for Rebate of State Levies (RoSL) as notified in the para 4.97 and 4.98 of the Handbook of Procedures 2015-20

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..... e online module: i. Commission amount of upto 12.5% of FOB value would be counted for calculation of entitlement under RoSL and any excess beyond 12.5% shall not be counted for calculation of Rebate amount. The exporter may note that they should fill the Commission, insurance and freight amounts in the online e-BRC repository module before linking the e-BRCs with the Shipping bills. ii. The exporters must fill the above values if the amounts under Commission, Insurance and Freight have been included in the realized value in the relevant e-BRC in the e BRC repository. iii. The system would calculate the rebate after adjusting the values as above from e BRC and would issue rebate on such adjusted e-BRC or FOB whichever is less. iv. Applic .....

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..... ent Act,1999; and (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 (vi) GST Acts, 2017 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; 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; 2 I/We undertake to abide by the provisions of the Foreign Trade (Dev .....

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..... at none of the consignments in respect of which claim is filed in this application has been subsequently returned. In case it is returned in future, I undertake to refund the rebate granted with interest rates as prescribed under section 28AA of Customs Act, 1962. 7 I hereby declare that this application does not contain any exports in contravention of provisions as specified in the Ministry of Textiles Gazette Notifications on RoSL in this regard. I declare that, I have not claimed or shall not claim credit/rebate/refund/reimbursement of these specific State Levies under any other mechanism and I am eligible for the rebate claimed for. Further, declare that an Internal Complaints Committee (ICC), where applicable, in pursuance of the Sex .....

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