Sub : Import Licence for import of Negative
/ Restricted Items
Import Negative Item against Exports
With Out Duty under Advance Licence
Even Negative List items for supply on payment of duty against
specific licences and without payment of duty against Advance
Licence. This should help to ensure easy and timely availability
of Raw-materials to the exporters, specially to SSI Units who
may find it difficult to import directly smaller quantities
at internationally competitive price.
Import Negative Item against Specific
Licence With Duty With Out
Exports
The regional licensing authority have been empowered to issue
licence for negative list items on the basis of recommendations
received from the special licensing committee of the head
quarters.
Requirements : Please give following Details/Documents
to enable us to process your application.
01
NAME OF COMPANY/FIRM
02
ADDRESS OF THE CO./FIRM
(REGISTERED OFFICE IN CASE OF LIMITED COMPANIES AND HEAD OFFICE
FOR OTHERS)
TELEPHONE Nos.
FAX Nos.
E-MAIL ADDRESS
02-A
NAME AND ADDRESS OF ALL THE
BRACHES/DIVISIONS/UNITS/FACTORIES LOCATED IN INDIA.
TELEPHONE Nos.
FAX Nos.
03
DATE OF ESTABLISHMENT OF BUSINESS/FACTORY
IN INDIA (DD/MM/YY)
04
IEC No.
DATE OF ISSUE (DD/MM/YY)
FILE No.
ISSUING AUTHORITY
05
PLEASE SPECIFY
THE CATEGORY
OF UNIT WHETHER
A
SMALL SCALE INDUSTRY
B
ANCILLARYINDUSTRIAL UNDERTAKING
C
SMALL SCALE SERVICE AND
D
BUSINESS (INDUSTRY RELATED)
ENTERPRISE
E
TINY
F
EXPORT ORIENTED UNIT
G
MAHARASHTRA SMALL INDUSTRY
H
Large Scale
06
SPECIFY THE NAME AND NATURE
OF ACTIVITY WHETHER
1
Manufacturer
2
Assembling
3
Processing
4
Job
work
5
Repairing/Serving
07
PERMANENT ACCOUNT NUMBER
(PAN) OF INCOME TAX
ISSUING AUTHORITY
DATE OF ISSUE (DD/MM/YY)
08
NATURE OF THE APPLICANT
FIRM : (PLEASE SPECIFY)
1
GOVERNMENT UNDERTAKING
2
PUBLIC LIMITED CO.
3
PRIVATE LIMITED COMPANY
4
PROPRIETORSHIP
5
PARTNERSHIP
6
OTHERS (PLEASE SPECIFY)
09
DETAILS OF THE
MAIN BANKER AND BANK ACCOUNT (ONLY MAIN BANKER)
NAME AND ADDRESS OF THE BANK
TYPE OF ACCOUNT
CURRENT A/C
SAVING A/C.
10
DETAILS OF THE
PROPRIETOR/PARTNER/DIRECTOR TO BE GIVEN IN THE FOLLOWING MANNER
(1) (A) NAME (MR/MRS/MISS)
(B) FATHER'S NAME
(C) RESIDENTIAL ADDRESS
(D) RESIDENTAIL TELEPHONE
(E) E-MAIL ADDRESS
(2) (A) NAME (MR/MRS/MISS)
(B) FATHER'S NAME
OR (B) HUSBAND'S NAME
(C) RESIDENTIAL ADDRESS
(D) RESIDENTIAL TELEPHONE
(E) E-MAIL ADDRESS
(3) (A) NAME (MR/MRS/MISS)
(B) FATHER'S NAME
OR (B) HUSBAND'S
NAME
(C) RESIDENTAIL ADDRESS
(D) RESIDENTIAL TELEPHONE
(E)
E-MAIL ADDRESS
SIGNATURE
OF THE : (PROPRIETOR/PARTNER/DIRECTOR)
NAME
OF SIGNATORY :
DESIGNATION
:
FULL RESIDENTIAL ADDRESS
11
Details
of Past Export Performance for last 3 Licensing Year.
1
Period
01.04.98 To 31.3.99
01.04.99 To 31.03.00
01.04.00 To 31.03.01
2
Description
3
FOB Value
12
Details
of Production for last 3 Licensing Year.
1
Period
01.04.98 To 31.3.99
01.04.99 To 31.03.00
01.04.00 To 31.03.01
2
Description
3
FOB Value
4
Productwise
5
Quantitywise
13
Details
of Consumption for last 3 Licensing Year.
1
Period
01.04.98 To 31.3.99
01.04.99 To 31.03.00
01.04.00 To 31.03.01
2
Description
3
FOB Value
4
Productwise
5
Quantitywise
14
Capital Investment on fixed assets :
a. Land : Rs. _______________
b. Building : Rs. _______________
Sr
Description
Existing
Proposed
A
Land & Bldg (Rs)
B
Machinery & Equipment(Rs)
I
Imported CIF Value(Rs)
II
Indigenous Value(Rs)
Total
15
LIST
OF MACHINERIES WITH ITS ORIGINAL PURCHASE VALUE
Sr
List of Machinery
Quantity
Value
16
LIST
OF MACHINERIES INTENDED TO BE PURCHASED WITH ITS CIF VALUE.
Sr
List of Machinery
Quantity
Value
17
PLEASE
ALSO GIVE THE EXCISE CLASSIFICATION OF ITEM OF MANUFACTURE
18
DATE
OF COMMENCEMENT OF PRODUCTION (ESTIMATED)
19
Details of Imported/Indigenous Raw Material Reqd Per Unit.
1
Period
01.04.01 To 31.3.02
01.04.902 To 31.03.03
01.04.03 To 31.03.04
2
End Product
3
Value
20
SPECIFY
THE POWER LOAD IN H.P. OR K.W. [1 H.P. = 0.745 KW]
21
SPECIFY
THE NUMBER OF EMPLOYEES UNDER
(I) MANAGERIAL & OFFICE STAFF
(II) SUPERVISORY AND WORKERS
22
22
TWO Self Certified xerox copies of :
A
Importer Exporter Code
No
B
Partnership Deed / Articles
of Memorandum.
C
Permanent Income Tax
A/c. No.
D
SSI/SIA Certificate
E
Central Excise Registration
Certificate
F
Registration Cum Membership
Certificate And Third Party if any
G
Telephone Bill
H
Passport
I
Electric Bill
J
Ration Card
K
Rent Receipt/Maintaineance
Bil
L
Export Order
M
Mfg Process with Flow
Chart
N
Pamphlet / Literature
of Photograph of machinery to be imported
O
Bills of Entry of Same
Item if available
23
Self Certified xerox copies of :
Proforma Invoice Showing
A
FOB Value
B
Insurance Value
C
Freight Value
D
CIF Value
E
Country of Origin
F
Country of Shipment
24
Pollution
Control Board Certificate or application made with acknowledgement
25
Four
Passport size ( Colour) Photographs of Signatory duly signed
by signatory on Photograph itself at the base without company's
rubber stamp.
26
30(Thirty)
big size letterheads Duly signed by Prop/Partner/Director with
Designation stamp on right side base corner.
27
Proprietor/Director/Partner
rubber Stamp
28
Justification
for Import of Machinery.
29 A
NAME
AND ADDRESS OF ALL Third party Exporter& BRANCHES/
DIVISIONS/UNITS/FACTORIES LOCATED IN INDIA.
TELEPHONE Nos. :
FAX Nos. :
29 B
RCMC
No. :
DATE OF ISSUE : (DD/MM/YY) :
VALID UPTO : (DD/MM/YY) :
ISSUING AUTHORITY :
30
Treasury
Challan Cash
Rs.
___________________
31
Service
Charge on CIF Value of Licenses.
15%
32
Non
Refundable Advance Cheque Favouring Impex Consultancy
Rs 20000/-
If you have any queries, please feel free to
call or fax us.
