APPENDIX 17-D
Application Form
for Target Plus Scheme for Exports Effected during 2005-06
(Please see paragraph 3.7.1 to 3.7.8 of the Foreign
Trade Policy 2004-09 applicable for the exports during 2005-06; (i.e. updated
on 31.03.2005 and amended from time to time) and paragraph 3.2.5 of the
Handbook of Procedures (Vol. 1) 2004-09 applicable for the exports during
2005-06; (i.e. updated on 31.03.2005 and amended from time to time).
FOR OFFICIAL USE
File No._________________________________ Date:____________
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Name and Address |
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I E Code Number |
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For the year 2005-06 a) Status b) Status Certificate Number c) Date of Issuance d) Valid from e) Valid up to |
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1 / 2 / 3 / 4 / 5 Star
Export House / EH / TH / STH / SSTH (tick the relevant Status) :
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RCMC No. and Date |
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Issued by |
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5. |
Details of
All Star Export Houses of the Group (see Note 1) |
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Sr. No. |
Names of the
Group Company |
Status of
the Company (1 / 2 / 3 / 4 / 5 Star Export House / EH / TH / STH / SSTH) |
Eligible Export Turnover (Rupee in Crores) |
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2004-05 |
2005-06 |
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1 |
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2 |
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3 |
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Total Group Turnover of all the Star Export Houses |
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6. Calculation of Value of Export and Entitlement: (see Note 2 to 10)
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Sr. No. |
Categories |
FOB Value of Exports in US$ |
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A |
B |
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2004-05 |
2005-06 |
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Row 01 |
Annual Export Turnover |
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Row 02 |
Exports made in categories (a to k) mentioned at Sr. No. VI of the
declaration appended hereto |
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Row 03 |
Eligible Exports = Row 01 Row 02 |
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Row 3A |
Incremental Growth in US $ (in %) = 100* (Column B of Row 3 Column A of Row 3)/Column A of Row 3 |
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Row 04 |
Eligible Exports (in Rupees) |
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Row 05 |
FOB Value of Exports under Vishesh Krishi Upaj Yojana for exports
during 2004-05 and 2005-06 (in Rupees) |
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Row 06 |
Eligible Export for Duty Free Credit Entitlement (in Rupees) =(Row 04 Row 05) |
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Row 07 |
Percentage of amount Realized as per Bank Realization Certificate out
of Row 06 in the Year 2005-06 (in %) (attach a calculation sheet as per format prescribed) |
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Row 08 |
Value Cap on Target Plus Duty Free Credit Entitlement (in Rs) = 5% * Column A of Row 06 |
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Row 09 |
Total Target Plus Duty Free Credit Entitlement Eligible for (in Rs) = {5% * (Column B of Row 06 - Column A of Row 06)} or {Value Cap in Row 08 above}, whichever is lower |
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Row 10 |
Value for Target Plus Duty Free Credit Entitlement applied for (in Rs) = {Row 07 * Row 09} or {Row 07 * Value Cap in Row 08 above}, whichever is lower |
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Row 11 |
Balance Target Plus Duty Free Credit Entitlement due (in Rs) = Row 09 - Row 10 |
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Row 12 |
Value wise details of Product Groups
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7. Breakup
for the Splitup Target Plus Entitlement, if any, requested for:
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Sr. No. |
Entitlement |
Break-up of the Entitlement for split-up |
Port of Registration |
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8. Details
of the Application Fee:
a) Value
of DD/TR:
b) No.
& Name of the issuing bank:
9. Port
of Registration (for import purpose):
(for
splits, please state the port of registration of each split, in Sr. No. 07
above)
10. Endorsing supporting manufacturer as
co-licensee, details thereof (optional):
Goods allowed to be
imported under this scheme shall have a broad nexus with the product exported
and a declaration in this regard shall be made by the applicant in Appendix
17D. For the purpose of import entitlements under this scheme, broad nexus
would mean goods imported with reference to any of the product groups of the
exported goods within the overall value of the entitlement certificate.
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Sr. No. of
Supporting Manufacturer |
Name, Address, PAN Number, Phone No. of
Associate Manufacturer / Supporting Manufacturer / job worker |
Sr. No of
Product Group |
Product Groups |
FOB Value of Eligible Exports 2005-06 |
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1 |
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1 |
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US$ |
Rupee |
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2 |
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3 |
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Sub Total |
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1 |
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2 |
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Sub Total |
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11. DECLARATION CUM UNDERTAKING
I.
I/We
hereby declare that this application is based on exports made (in free foreign
exchange) during the licensing year 2004-05 and 2005-06 and benefit is being
claimed in respect of export proceeds realized in conformity with requirement
prescribed in Para 3.2.5 (I) of Handbook of Procedures (Vol. 1) 2004-09, applicable
for the exports during 2005-06; (i.e. updated on 31.03.2005 and amended from
time to time).
II.
I/We
further certify that I/We am/are authorized to verify and sign the statement on
behalf of the applicant.
III.
I/We
fully understand that any information furnished in the above statement, 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.
IV.
I/We
further declare that I/We has/have not applied nor obtained another Target Plus
DFCE Entitlement Certificate issued under paragraph 3.7.1 of the Policy based
on the exports made (in free foreign exchange) during 2005-06.
V.
I/We
further declare that I/We shall comply with the provisions of the Foreign Trade
Policy/Handbook of Procedure (Vol.1) and the relevant Customs notification
while importing the goods under the scheme and subsequent use of the same under
actual user condition.