ANF 1 PROFILE Note: Please state 'Not Applicable' wherever the information/data is not applicable to you. 1. IEC Details i. IEC Number ii. Date of Issue iii. Issuing Authority 2. Applicant Firm Details i. Name ii. Address (Registered Office in case of Companies and Head Office in case of Others) iii. Address of all Branches/Divisions/Units/Factories located in India & abroad (attach extra sheet if required) iv. Telephone v. Email address (for correspondence with DGFT) 3. Details of Proprietor/Partners/Directors/Karta/Trustee of the applicant firm (attach extra sheet if required) i. Name ii. Father's Name iii. Residential Address iv. Telephone 4. Nature of Concern (please tick) ( ? ) i. Government Undertaking ii. Public Limited Company iii. Private Limited Company iv. Proprietorship v. Partnership vi. Others 5. Type of Exporter (please tick) ( ? ) i. Merchant Exporter ii. Manufacturer Exporter iii. Service Provider iv. Others (please specify) v. Merchant cum Manufacturer 1 6. Industrial Registration Details i. SSI/IEM/LOI or IL Registration Number ii. Date of Issue iii. Issuing Authority iv. Products for which registered 7. Service Tax Registration Details (in case of Service providers) i. Service Tax Registration Number ii. Issuing Authority iii. Services for which registered 8. RCMC Details i. RCMC Number ii. Date of Issue iii. Issuing Authority iv. Valid upto v. Products for which registered 9. Status House Details i. One/Two/Three/Four/Five Star ii. Certificate Number iii. Date of Issue iv. Issuing Authority v. Valid Upto 10. PAN Details i. PAN Number iii. Issuing Authority 11. Excise Details i. Excise Registration Number ii. Issuing Authority 12. VAT Details i. VAT Registration Number ii. Issuing Authority 13. Turnover Details for the preceding three licensing years FY Annual Domestic Turnover (Rs Lakhs) Annual Export Turnover (Rs Lakhs) 2 DECLARATION / UNDERTAKING 1. I / We hereby declare that the particulars and the statements made in this application are true and correct to the best of my / our knowledge and belief and nothing has been concealed or held there from. 2. 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. 3. I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, the Rules and Orders framed there under, FTP, HBP v 1 and HBP v2 and ITC (HS). 4 a. I / We hereby certify that the firm / company for whom the application has been made has not been penalized under Customs Act, Excise Act, FT (D & R) Act 1992 and FERA / FEMA. b. I / We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of firm / company, as the case may be, is / are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company which has come to adverse notice of DGFT. c. I / We hereby certify that the Proprietor / Partner(s) / Director(s) / Karta / Trustee, as the case may be, of the firm/company is / are not associated as Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / company which is in the caution list of RBI. d. I / We hereby certify that neither the Registered Office / Head Office of the firm/company 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. 5. I / We hereby declare that I / We have not obtained nor applied for such benefits (including issuance of an Importer Exporter Code Number) in the name of our Registered / Head Office or any of our Branch(s) / Unit(s) / Division(s) to any other Regional Authority. 5A. I / We hereby declare that I/we have perused the list of SCOMET items as contained in the Appendix 3 to the Schedule 2 of the ITC (HS) and that the item(s) exported / proposed to be exported does not fall within this list and that I / We agree to abide by the provisions of FTP for export of SCOMET items contained in the FTP, Schedule 2 of ITC (HS) and the HBP v1, irrespective of the scheme under which the item is exported / proposed to be exported. 6. I / We solemnly declare that I / We have applied for / obtained a RCMC to the EPC which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of Para 2.67 and Para 2.67.1 of the HBP v1. 7. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy. Signature of the Applicant Place Name Date Designation Official Address Telephone Residential Address Email Address 3
