| 1. |
Name of the application and duly completed in all respects |
| 2. |
Status of the application : Merchant/Manufacturer Exporter/Both |
| 3. |
Date of submission of application |
| 5. |
Is the application in prescribed form (10J) |
| 6. |
Is 2 copies App.2 furnished |
| 7. |
Designation of the Signatory Director/Partner/ proprietor/Authorized Person
|
| 8. |
If the signatory is an Authorized person then has Power of Attorney/Board of Resolution Furnished? |
| 9. |
Has T.R. (in duplicate Pay Order/ Demand Draft furnished? |
| 11. |
If no what is the shortfall |
| 12. |
Appropriate Head of A/C given |
| 13. |
Whether E.P. copies of Shipping Bill Furnished. |
| 14. |
Whether Bank Cft.(s) Produced (22A) |
| 15. |
Total FOR as per Bank Cft(s) |
| 16. |
Total FOR value as per Bill of Export |
| 17. |
Whether Bill of Export finally assessed if B.O.Exp. initially Provisional |
| 18. |
Whether Spl.CCP permission obtained (For some LCS) |
| 19. |
Whether Customs attested invoice produced |
| 20. |
Sl.No. DEPB Rate list & Rates (Vide App.28A of the Hand Book |
| 22. |
Is PMV declaration in Bill of Exp (For rates 10% & above) |
| 23. |
Is P/Copy of valid RCMC produced (self attested) once a year for claimants other than SEZ |
| 24. |
In case of return of goods, the certificate indicating the quantity of goods returned out of the Invoice/Bill of Exports submitted for claim. |
| 25. |
Declaration as per Trade Notice 10/03-04/E Dated 27.5.03 furnished. |
