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TMI BlogAPPLICATION FORM FOR REQUEST FOR ENTERING INTO AN ARRANGEMENT OR UNDERSTANDING THAT INVOLVES SITE VISIT, ON-SITE VERIFICATION OR ACCESS TO RECORDS/DOCUMENTATION AS MENTIONED IN APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION OF EXPORT AND IMPORT ITEMSX X X X Extracts X X X X X X X X Extracts X X X X ..... 2. Applicant Details: i. Name ii. Address 3. Applicant Fee Details: i. Amount in Rupees ii. Demand Draft/Bank Receipt/ Electronic Fund Transfer Number iii. Date of issue/Transfer iv. Name of Bank on which drawn v. Bank Branch on which drawn 4. Jurisdictional Regional Authority: 5. Detail of activities and operations: 6. Details of the provisions of the arrangement or understanding involving site visits / on-site ver ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... iii. Telephone No. iv. Fax No. iv. Location (Country)of end user v. End product for which the item of export will be used by the end user vi. Purpose for which the end product will be utilized vii. Is end user an entity of Government of destination country? viii. Manufacturing/Business/other activity of the end user 9. Details of export/ import of SCOMET items in the preceding 3 licensing years: Sl.No. Export/Import Licence /Authorization Details Category Description of items Exported / ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Corporate Office. 12. (a) Period of arrangement or understanding that involves site visit, on- site verification or access to records/ documentation: (b) Proposed number of visits(indicate the number date/period of such visit): 13. Detail of sites and activities which will be covered by the arrangement/ understanding (I) i. Address ii. Telephone No. iii. Fax No. iv. Nature of Unit: Corporate Office/Registered Office/Branch Office/Manufacturing unit/Laboratory. v. Activity (II) ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... 16. Foreign Collaborator Details (As registered with GOI/RBI) (If No foreign collaboration exists, please None ) i. Name ii. Address DECLARATION/UNDERTAKING 1. I/We hereby certify that: A. The entity for whom the application has been made have not been penalized under any of the following Acts (as amended from time to time): a. The Customs Act, 1962, b. The Central Excise Act 1944, c. Foreign Trade (Development Regulation) Act 1992, and d. The Foreign Exchange Management Act, 1999; e. The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974 ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... the particulars and the statements made in this application are true and correct to The best of my/our knowledge and belief and nothing has been concealed or withheld therefrom. 5. I/We hereby declare that I /We have not 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 Authority. 6. I/ We solemnly declare that I / We have applied or / obtained a RCMC to the EPC which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provision ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ii) Technical Specifications (not exceeding one page for each item) for the items to be exported / Imported. (iii) Profile of the foreign government/foreign third party/Indian party. 3. In case purpose of site visit / on-site verification is export / import, Original End User certificate (in the prescribed format Appendix 10L on Letter Head of the End User) indicating complete details of the export / import product, end product, end purpose for which the item of export / import will be used by end user along with complete address and telephone No. of end user must be furnished along with original application. End User Certificate from the following must also be submitted: (i) By the final end user if the import is by a third party/ ..... X X X X Extracts X X X X X X X X Extracts X X X X
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