GOVERNMENT OF INDIA
MINISTRY OF COMMERCE & INDUSTRY
DEPARTMENT OF COMMERCE
DIRECTORATE GENERAL OF FOREIGN TRADE
Public Notice No. 05/2015-20
Dated: 03rd May, 2016
Subject: Amendment of ANF 3C – Application for on line filing of
Grant of Status Certificate
In exercise of powers conferred under paragraph 2.04 of the Foreign Trade
Policy 2015-20, Director General of Foreign Trade, hereby amends the ANF 3C-
Application for on line filing of Grant of Status Certificate of Appendices and
Aayat Niryat Form of FTP 2015-20 as per Annexure to this Public Notice.
Effect of this Public Notice: The amended ANF 3C- Application for on line
filing of Grant of Status Certificate is notified to include the current and
previous three year to give effect to the amendment made in Para 3.20(b) of FTP
vide
Notification No. 4 /2015-20 dated 29th April 2016.
(Anup Wadhawan )
Director General of Foreign Trade
E-mail: [email protected]
( Issued from File No.01/61/180/179/AM16/PC-3)
Annexure to Public Notice .5/2015-20 Dated 3rd May 2016
ANF- 3C
Application for on line filing of Grant of Status Certificate
(Kindly read Para3.20 to 3.24 of FTP and Para 3.18 to3.23 of HBP )
Part A
1. Applicant Detail |
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IEC Number Branch |
Code |
Name |
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Address |
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Telephone No |
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Email ID |
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2. Application Details |
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Application For |
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Submission Date |
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Submitted To |
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Part B
3. Category of Status applied for: please tick) ( √ )
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a) One Star Export House |
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b) Two Star Export House |
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c) Three Star Export House |
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d) Four Star Export House |
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e) Five Star Export House |
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4. Details of Exports/Deemed Exports/Foreign Exchange earned for supply of
Service from India during
preceding three (two for Gems and Jewellery Sector) licensing years and current
year (i.e. year in which
application is filed).
Statement of Exports / Deemed Exports / Foreign Exchange
Earned by Supply of Service |
Type of Exports in US $ (FOB / FOR value / Foreign Exchange Earned) |
Current Year in US $(Specify Period) |
Previous Year 1 in US $ |
Previous Year 2 in US $ |
Previous Year 3 in US $ (not applicable for Gems and Jewellery Sector) |
1. Exports of goods without Weightage |
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2. Exports with Double Weightage |
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3 . Exports of services without Weightage |
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4. FOR value converted in US $ for Deemed Exports |
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5. Exports of SEZs / EOUs / EHTPs / STPs / BTPs, if clubbing is sought |
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6. Total (in US$) |
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Note 1: A shipment can be included only once in one of
the categories eligible for double weightage
Note 2: In case application is filed on basis of current years’ exports,
please specify the period (say e.g.Apr – July of Current Year if exports
of 4 months are counted, or Apr – Nov of Current Year if exports of 8
months are counted)
Note 3 If the exports are in any other currency other than US$ like Euro
etc, these shall be converted to US$ as per rate notified by customs for
particular month for export purposes. |
5. This is to certify that I have uploaded the following documents after
scanning which is part of this application.
a. Copy of earlier Status Certificate, if any.
6. 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):
(i) The Customs Act, 1962,
(ii) The Central Excise Act 1944,
(iii) Foreign Trade (Development & Regulation) Act 1992,
(iv) The Foreign Exchange Management Act,1999; and
(v) The Conservation of Foreign Exchange, Prevention of Smuggling
Activities Act,
1974
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
(Development and Regulation) Act, 1992, as amended from time to time,
the Rules and Orders framed there
under, the Foreign Trade Policy, the Handbook of Procedures |
3 |
I/We hereby certify that that particulars and statements made in
this application are true and correct and nothing has been concealed or
held therefrom. I/We fully understand that
any information furnished in the application if found incorrect or false
will render me/us liable for any penal action or other consequences as
may be prescribed in law or otherwise
warranted. |
4 |
I hereby certify that I am authorized to verify and sign this
declaration as per Paragraph 9.06 of the Foreign Trade Policy. |
5 |
I hereby declare that a shipment has been included only once in one
of the categories eligible for double weightage. |
6 |
I hereby declare that exports made on re-export basis have not been
included. |
7 |
I hereby declare that export / supplies do not include any
performance based on disclaimer. |
8 |
I hereby declare that only such exports has been taken into account
for seeking recognition, which has been realized by me in our bank
account directly from overseas. |
9 |
I undertake to abide by provisions of Para 9.51 of FTP relating to
supply of service from India. |
Tick the box as acceptance of declaration/ undertaking and fill in
the details below.
Signature of the Applicant |
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Name |
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Designation |
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Official Address |
Flat/Plot/Block No
Street/Area/Locality
City
State
PIN Code |
Telephone No. |
Country Code -----
Area Code ------
Phone number-- -- |
Fax No. -- -- |
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Email |
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Place: |
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Date: |
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Annexure to ANF 3C
CERTIFICATE OF CHARTERED ACCOUNTANT (CA)
COST AND WORKS ACCOUNTANT
(ICWA)/ COMPANY SECRETARY (CS)
I / We hereby confirm that I / We have examined prescribed registers and also
relevant records of M/s………………having IEC Number ……for
licensing period (s) …… …………………………and hereby certify that:
- Following documents / records have been furnished by applicant firm /
company and have been examined and verified by me / us namely: -
a) Statutory documentations under Customs Act 1962 and Excise Act 1848, Service
Tax Act, Foreign Trade (Development & Regulation) Act 1992 as amended;
b) Export Order / Contract, Shipping Bills, Bill of Lading (and / or Airways
Bills / PP Receipts), Customs / Bank attested Invoices, Forward Inward
Remittance Certificates (FIRCs) and e- BRC realization, GR declaration and
connected books of accounts;
c) FIRCs, Certificate from international credit card companies.
- Information given by applicant firm / company in ANF 3C is in agreement with
FTP,2015-20 as amended, and rules and procedures made there under, relevant
register and records and books of accounts maintained by M/s .........
..…………………... is also true and correct.
- It has been ensured that
a) Information furnished is true and correct in all respects; no part of it is
false or misleading and no relevant information has been concealed or withheld;
b) In respect of export of goods, a shipment is counted in applicants export
turnover/performance only if the realization of export proceeds from overseas is
in the applicant’s bank account.
c) In respect of service providers, realization of export proceeds in free
foreign exchange pertains to rendering of services.
d) If the exports are in any other currency other than US$ like Euro etc, these
are converted to US$ as per rate notified by customs for particular month for
export purposes.
- Neither I, nor any of my / our partners is a partner, director, or an employee
of above-named entity, its Group companies or its associated concerns;
- I / We further certify that export proceeds for shipments during
last three years (two years for Gems and Jewellery Sector) plus current year
are not outstanding beyond prescribed period as permitted by RBI.
- The statement of Exports / Deemed Exports / Foreign Exchange
Earned by Supply of Service has been calculated as under:
Statement of Exports / Deemed Exports / Foreign
Exchange Earned by Supply of Service from India |
Type of Exports in US $ (FOB / FOR value / Foreign Exchange Earned) |
Current Year
in US $ |
Previous Year 1 in US $ |
Previous Year 2 in US $ |
Previous Year 3 in US $ (not applicable for Gems and Jewellery Sector) |
1. Exports of goods without Weightage |
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2. Exports with Double Weightage (As per format A) |
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3. Exports of services without Weightage(As per Format B ) |
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4. FOR value converted in US $ for Deemed Exports( As per Format C) |
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5. Exports of SEZs / EOUs / EHTPs / STPs / BTPs, if clubbing is sought(As per format D |
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6. Total (in US$) |
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Note1 A shipment can be included only once in one of the
categories eligible for double weightage. Note 2: In case application is filed on basis of current years’ exports,
please specify the period (say e.g. Apr – July of Current Year if
exports of 4 months are counted, or Apr – Nov of Current Year if exports of 8
months are counted)
Note 3 If the exports are in any other currency other than US$ like Euro
etc, these shall be converted to US$ as per rate notified by customs for
particular month for export purposes. |
7. This is to certify that following of documents of record mentioned in
serial number 1 have not been maintained / furnished, examined or verified 1) 2)
8. I / We fully understand that any statement made in this certificate, if
proved incorrect or false, will render me / us liable to face any penal action
or other consequences as may be prescribed in law or otherwise warranted.
Place: ______________
Signatureof CA/ ICWA /
CS:_______________________
Date: _______________ Name of the Signatory: ______________________
Address: _________________________________
________________________________________
Membership No: ___________________________
Phone Number
Email Address: ______________________________
Format A
Certificate of Exports where Double Weightage has been claimed
(Applicable only if the application is for One Star Export House)
Note: A shipment can be included in one of categories indicated
below only once. |
Sl. No. |
Category of Exports |
FOB/FOR/Foreign Exchange earned in US $ in Current Year |
FOB/FOR/Foreign Exchange earned in US $ in Previous Year 1 |
FOB/FOR/Foreign Exchange earned in US $ in Previous Year 2 |
FOB/FOR/Foreign Exchange earned in US $ in Previous Year 3(not applicable for Gem and Jewellery Sector) |
1 |
Export of Goods and/or services by Micro, small & m e d i u m enterprises(MSME) as defined in Micro, small &medium enterprises Development (MSMED) Act 2006 |
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2 |
Manufacturing units having ISO/BIS |
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3 |
Units located in North Eastern States including Sikkim and Jammu & Kashmir |
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4 |
Units located Agri Export Zone |
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5 |
Total FOB Value in US$ |
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6 |
FOB Value of Exports with Double Weightage (US$) = [2 X Total FOB Value of Row 5 above ] |
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Format B
Certificate of Foreign Exchange Earned by Supply of Service
Sl.
No. |
Category of Service Provider |
Particulars |
Foreign Exchange Earned US$ in current year |
Foreign Exchange Earned US$ in previous year 1 |
Foreign Exchange Earned US$ in previous year 2 |
Foreign Exchange Earned US$ in previous year 3 (not applicable for Gem and Jewellery Sector) |
1 |
Para 9.51 (i) |
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2 |
Para 9.51 (ii) |
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3 |
Para 9.51 (iii) |
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4 |
Para 9.51 (iv) |
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5 |
Total Foreign Exchange Earned by Supply of Service (US$) |
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Format C
Certificate of FOR value of Deemed Exports |
Sl. No. |
Category of Deemed Exports
(Chapter 7 of FTP
(Please quote the relevan
sub para in brackets) |
FO
(Rs in Cr
in current year |
FO
(Rs in Cr
in previou
year 1 |
FO
(Rs in Cr
in previou
year 2 |
FO
(Rs in Cr
in previou
year 3 (no
applicabl
for Ge
an
Jewellery
Sector) |
1 |
Supply to Advance Authorisation |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
Total FOR Value (Rs in Cr) |
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8 |
Exchange Rate notified by CBEC as
on 1 st April of financial year |
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9 |
Equivalent US $ |
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Format D
Exports from SEZs / EOUs / EHTPs / STPs / BTPs units which are included
in IEC and is taken for calculation of grant of status |
Sl. No. |
Names of Exporting Units |
FOB value in US $ in current year |
FOB value in US $ in previous year 1 |
FOB value in US $ in previous year 2 |
FOB value in US $ in previous year 3 (not applicable for Gem and Jewellery
Sector) |
1 |
2 |
3 |
4 |
5 |
6 |
1 |
SEZs |
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2 |
EOUs |
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3 |
EHTPs |
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4 |
STPs |
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5 |
5 BTPs |
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6 |
Total FOB Value ( in US$) |
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Place: ______________ Signatureof CA/ ICWA / CS:_______________________
Date: _______________ Name of the Signatory: ______________________
Address: ________________
Membership No: ___________________________
Phone Number
Email Address: ______________________________
Note: Each page of certificate of Chartered Accountant (CA) Cost and works
Accountant ICWA)/ Company Secretary (CS) including Format A to D need to be
signed and stamped.
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