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APPLICATION FORM FOR EXPORT OF SCOMET ITEMS INCLUDING SOFTWARE AND TECHNOLOGY (UNDER GLOBAL AUTHORISATION FOR INTRA COMPANY TRANSFER) LISTED IN APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION

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..... i. E-mail address where alerts and notifications to be sent vii. Company Website viii. Principal Business Activities of the applicant firm: ix. Is this applicant a parent company ? Yes No x. If applicant is a subsidiary, then provide following details: Name Address Country of Export (tick the appropriate) a. Parent Company b. Other Subsidiaries (to which exports to be made) xi. License exception given by (if applicable) 1. From Foreign parent/subsidiary 2. Name of the country xii. Export license of foreign country (if applicable) 1. Type of Export license of foreign country (for e.g. bulk/general / temporary license / others) 2. Country of granting such license Application Fee Details i. Sr. No. ii. Pay Mode iii. Demand .....

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..... 1. A "symmetric algorithm" employing a key length in excess of 56 bits, not including parity bits? Yes No If 'Yes' please state the following a) Full name: b) Key Length / bits: c) Is it used for any of the following? i. "Authentication" ii. Digital Signature iii. Data integrity iv. Non-repudiation v. Digital rights management, including the execution of copy protected software vi. Encryption or decryption support of entertainment, mass commercial broadcasts or medical records management vii. Key management in support of any of the cryptographic functions in above 1. (i) to (vi) d) Encryption algorithm e) Encryption Functionality Additional Information (If applicable) 2C. In case of Technology and Software (If app .....

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..... ntangible Transfer of Technology (ITT)) i. Mode of Export Over the counter transactions Mail Order Transactions Electronic transactions Telephone call transactions Others ii. Countries to which item to be exported iii. Ultimate Destination Country 6A. Consignee* Details (If different from ultimate end user) * The DGFT need to be informed in advance in case of any new consignee is involved. i. Name ii. Address Flat/Plot/Block No. Street/Area/Locality City Country Postal Code iii. Tele phone No. (1) Country Code Area Code Tel.No. (2) iv. Fax No. Country Code Area Code Fax No. v. E-mail 6B. Intermediary* Details (If third party involved) (leave if not applicable) * The DGFT need to be informed in advance in case o .....

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..... Exception granted by the export control licensing authority of country of the foreign parent company with validity (wherever applicable) ☐ Export license of foreign country (wherever applicable) ☐ A self-certified copy of the ICP of the foreign parent company being adopted by Indian subsidiary/ self-certified copy of ICP of Indian parent company/ ICP certified by Government like AEO Scheme ☐ Proof of repair obligation in India (Wherever applicable) ☐ Proof of demonstration purpose (wherever applicable) ☐ Other, Please specify………………………. For Use in DGFT office only (To be filled by the applicant). 9A. Application Submission Details (if submitte .....

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..... ss 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/ KartaI/ Trustee in any other Company/ firm I 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 I Head Office of the firm I 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 I 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 .....

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