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(TO BE PUBLISHED IN THE GAZETTE OF INDIA EXTRAORDINARY PART-1 SECTION-1)
GOVERNMENT OF INDIA
MINISTRY OF COMMERCE & INDUSTRY
DEPARTMENT OF COMMERCE
DIRECTORATE GENERAL OF FOREIGN TRADE
PUBLIC NOTICE No.05 /2015-20 Dated: 3 rd
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 29 th
April 2016.
(Anup Wadhawan )
Director General of Foreign Trade
E-mail: dgft@nic.in
( Issued from File No.01/61/180/179/AM16/PC-3)
Annexure to Public Notice .5 /2015-20 Dated 3 rd
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
IEC Number Branch Code
Name
Address
Telephone No
Email ID
2. Application Details
Application For
Submission Date
Submitted To
Part B
3. Category of Status applied for: please tick) ( √ )
a) One Star Export House
b) Two Star Export House
c) Three Star Export House
d) Four Star Export House
e) Five Star Export House
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
2. Exports with Double
Weightage
3 . Exports of services
without Weightage
4. FOR value converted
in US $ for Deemed
Exports
5. Exports of SEZs /
EOUs / EHTPs / STPs
/ BTPs, if clubbing is
sought
6. Total (in US$)
Note 1 : A shipment can be included only once in one of the categories eligible for double weightage
Note 2 : In case application is filed on basis of current years’ exports, please specify the period (say e.g.
Apr – July of Current Year if exports of 4 months are counted, or Apr – Nov of Current Year if
exports of 8 months are counted)
Note 3 If the exports are in any other currency other than US$ 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
Name
Designation
Official
Address Flat/Plot/Block No
Street/Area/Locality
City
State
PIN Code
Telephone No. Country
Code ----- Area Code ------ Phone number
-- --
Fax No. -- --
Email
Place:
Date:
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:
1 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.
2 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.
3 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.
4 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;
5 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.
6 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
2 . Exports with
Double
Weightage (As
per format A)
3. Exports of
services without
Weightage(As per
Format B )
4. FOR value
converted in US $
for Deemed
Exports( As per
Format C)
5. Exports of
SEZs / EOUs /
EHTPs / STPs /
BTPs, if clubbing
is sought(As per
format D
6. Total (in US$)
Note1 A shipment can be included only once in one of the categories
eligible for double weightage.
Note 2 : In case application is filed on basis of current years’ exports,
please specify the period (say e.g. Apr – July of Current Year if exports
of 4 months are counted, or Apr – Nov of Current Year if exports of 8
months are counted)
Note 3 If the exports are in any other currency other than US$ 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. Category of Exports FOB/FOR/Foreig FOB/FOR/ FOB/FOR/ FOB/FOR/
No. n Exchange
earned in US $
in Current Year Foreign
Exchange
earned in US $
in
Previous Year
1 Foreign
Exchange
earned in
US $ in
Previous
Year 2 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
2 Manufacturing units having
ISO/BIS
3 Units located in North
Eastern States including
Sikkim and Jammu &
Kashmir
4 Units located Agri Export
Zone
5 Total FOB Value in US$
6. FOB Value of Exports with
Double Weightage (US$) = [2 X
Total FOB Value of Row 5 above ]
Format B
Certificate of Foreign Exchange Earned by Supply of Service
Sl.
No. Category of
Service Provider Particulars Foreign
Exchange
Earned
US$ 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)
2 Para 9.51 (ii)
3 Para 9.51 (iii)
4 Para 9.51 (iv)
5. Total Foreign Exchange Earned by
Supply of Service (US$)
Format C
Certificate of FOR value of Deemed Exports
Sl. No. Category of Deemed Exports
(Chapter 7 of FTP)
(Please quote the relevant
sub para in brackets) FOR
(Rs in Cr)
in current year FOR
(Rs in Cr)
in previous
year 1 FOR
(Rs in Cr)
in previous
year 2 FOR
(Rs in Cr)
in previous
year 3 (not
applicable
for Gem
and
Jewellery
Sector)
1 Supply to Advance
Authorisation
2
3
4
5
6
7. Total FOR Value (Rs in Cr)
8. Exchange Rate notified by CBEC as
on 1 st April of financial year
9. Equivalent US $
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
1 SEZs
2 EOUs
3 EHTPs
4 STPs
5 BTPs
6. Total FOB Value ( in US$)
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.