ANF 4E

For Enhancement in CIF / FOB Value or Revalidation or EO extension of Authorisation

[Please see guidelines (given at the end) before filling the application].

1. IEC Number

2. Applicant Details

i. Name

ii. Address

3. Application Fee Details

Amount (Rs)

Demand Draft / Bank Receipt / Electronic Fund Transfer No

Date of Issue

Name of the Bank on which drawn

Bank Branch on which drawn

4. Authorisation details

i. Authorisation Number

ii. Authorisation Date

iii. File Number from which Authorisation is issued

iv. Original CIF Value (Rs)

v. Original FOB Value (Rs)

vi. Original Value Addition (%)

vii. Initial Validity

viii. Extended Validity, if any

ix. Initial EO Period

x. Extended EO period, if any

5. Details of import items and utilisation of Authorisation

S No	Item Description	Original CIF Value (Rs)	Quantity endorsed in the Authorisation (in metric units )	Balance Quantity available in the Authorisation		Balance CIF Value Available in the Authorisation		Proposed CIF value (Rs) (in case of request for CIF enhancement)
				In metric units	In %	In Rs	In %

6. Details of Export Obligation fulfillment

S No	Item Description	FOB Value (Rs)	Quantity to be exported (in metric units)	EO completed		Unfulfilled EO
				In Value terms (Rs/%)	In Quantity terms (%)	In Value terms (Rs/%)	In Qty terms (%)

7. Changes Required in the Authorisation

a. In case of request for CIF / FOB enhancement

i. Proposed CIF Value (Rs)

ii. Proposed FOB Value (Rs)

iii. Proposed Value Addition (%)

b. In case of request for revalidation

i. Revalidation applied upto

c. In case of request for EO extension

i. Extension in EO period applied upto

8. Reasons for seeking CIF/FOB enhancement/Revalidation/EO extension:

Declaration / Undertaking

1. I/We hereby declare that 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 held there from. If found incorrect or false, it will render me / us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.

2. I/We undertake to abide by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items.

3. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to the adverse notice of DGFT.

4. I/We hereby certify that the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company which is in the caution list of RBI.

5. I/ We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2004-09 and that the item(s) exported / proposed to be exported does not fall within this list and that I/ We agree to abide by the provisions of the Policy for export of SCOMET items contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported (the underlined portion will be deleted in case an application for export license for SCOMET item is being filed).

6. (Applicable in case of Advance Authorisation applications under paragraph 4.7 of HBP v1only)

a. I/We hereby declare that I / We shall abide by the final fixation of norms by the Norms Committee (NC) and shall pay in cash to the Government Customs duty together with interest (as notified) reckoned from the date of imports till the date of deposit on the inputs imported in excess of the norms fixed by NC.

b. I / We hereby declare that no export proceeds are outstanding beyond the prescribed period as laid down by RBI or such extended period for which RBI permission has been obtained.

7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the FTP.

Signature of the Applicant Place

Name Date

Designation

Official Address

Telephone

Residential Address

Email Address

Guidelines for Applicants

[Please see paragraph 4.21 of HBP v1]

1. Two copies of the application must be submitted unless otherwise mentioned.

2. Each individual page of the application has to be signed by the applicant.

3. Application must be accompanied by documents as per details given below:

1. Bank Receipt (in duplicate) / Demand Draft / EFT details evidencing payment of application fee in terms of Appendix 21B or otherwise as per Policy / Procedures.

2. Authorisation in Original.