Appendix-7
- Document type
- Procedure
- Dated
- Category
- Forms & Appendix (upto 31/03/2001)
APPLICATION FORM FOR ISSUE OF IMPORT CERTIFICATE UNDER INDO-US MOU
Note : Please see Para 4.13 of this Handbook.
FOR OFFICIAL USE
File No................
Date..............
- Name of the Undertaking with
Address of Head Office........................
- Location of factory
- Name of the Undertaking with
- Name of the sponsoring Directorate ........................................ in ICIA
- Name and address of the US Exporter .......................................
- Items of import for which Import Certificate is required :
S.No Details of item Quantity CIF Value
- If required for manufacture :
- Details of the Industrial Licence / SIA Regn. / DGTD
Regn. / SSI Regn. No. ................................
- End Product as given in the Industrial Licence / DGTD /
SSI Regn. No. .......................................
- Actual item of manufacture : ........................
- Details of the Industrial Licence / SIA Regn. / DGTD
- If required for R&D:
- Details of the Registration with Department of Science
& Technology alongwith validity.
.....................................................
- Specific project for which the item is proposed for
import.
.....................................................
- Details of the Registration with Department of Science
- If required for other Actual Users (Non-Industrial) :
- Nature of the concern. ..............................
- Type of Registration certificate held with photocopy
thereof.
...................................................
- Photocopy of permission letter of the local / municipal
body.
- Nature of the concern. ..............................
- Whether the item given in col.4 above is CG ?
Yes / No
- Whether the item given in col.4 above is raw-material?
Yes / No
- Is the item covered under the Restricted list of ITC(HS)?
Yes / No
- If covered by Restricted List, furnish details of the
application submitted to the licensing authority
concerned for the grant of import licence.
.....................................................
.....................................................
- Whether the item given in col.4 above is CG ?
- Copy of the letter from the US supplier in support of the request for Import
Certificate and the reference No. of the controlled commodity / munitions list of the
US Export Administration Regulations:
............................................................
Place .......... Signature ..................
Date .......... Name in Block Letters .........
Designation ..................
Full office address ...........
Telephone No. .................
Fax No. .......................
In order to import above items, I Shri.......................... (designation) duly authorised by M/s ................(Name of the Organisation), a Government entity / Government controlled entity / private sector entity (Delete whichever is not applicable) hereby undertake :
- To import the item into India and not to redirect it or
any part of it, to another destination before its
arrival in India.
- To provide, if asked, verification that possession of
item was taken.
- Not to re-export the item without any written approval
of Certificate Issuing Authority.
- Not to retransfer within India the item(s) specified in
this certificate without the written approval of the
Certificate Issuing Authority.
- To obtain permission in writing from the Certificate
Issuing Authority prior to any change in end-user which
shall be preceded by the new end-user notifying the
Certificate Issuing Authority that he / she agrees to
the conditions contained in this document.
- The items being imported will / will not be integrated
into Indian end-products to be exported.
Signature
Name in Block letters
Designation
Date ............
Office Address
Tele:
Fax :
E. Mail No.
(To be signed by authorised representative)
ANNEXURE TO APPENDIX - 7
-------------------------No.DGFT ......... /2000
GOVERNMENT OF INDIA
IMPORT CERTIFICATEExporter (Name & Address) ---------------------------------------------------
---------------------------------------------------
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Importer (Name & Address) ---------------------------------------------------
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| Description of Goods | Quantity | Value |
|---|---|---|
It is certified that the importer named above has undertaken:
- To import the item into India and not to redirect it or any
part of it, to another destination before its arrival in
India.
- To provide, if asked, verification that possession of the item
was taken.
- Not to re-export the item without the written approval of
the Certificate Issuing Authority.
- Not to retransfer within India the item(s) specified in
this Certificate without the written approval of the
Certificate Issuing Authority.
- To obtain permission in writing from the Certificate Issuing
Authority prior to any change in end-user which shall be
preceded by the new end-user notifying the Certificate
Issuing Authority that he / she agrees to the conditions
contained in this document.
Date Official Seal Signature.................
Designation...............
- Note :
- This import certificate is not a substitute for Import Licence in respect of the items mentioned as restricted under ITC(HS) and an import licence, in addition to this Certificate, will have to be obtained wherever required for such items.