ANNEXURE-II

Application form for import certification to import fasteners including buttons & snap fasteners, zip fasteners including zippers in roll, sliders/pullers & end stoppers, poly wadding materials. lining and interlining materials including knitted lining and interlining. inlay cards. shoulder pads. buckles. eyelets. hooks and eyes. rivets, collar stays, collar patties. butterfly and other garment stays including plastic stays, fusible embroidery motifs or prints. laces. badges including embroidered badges. velcro tape and embroidery threads. sewing thread. stones (other than precious & semi precious sequin tape elastic tape & hook tape of width not exceeding 75 mm, cord & cord stopper. toggles, stud. elastic cloth and elastic band. quilted wadding materials, beads for embroidery. sample fabric of total length upto 500 metre imported during one financial year, printed bags, knitted ribs & anti-theft devices like lables, tags & sensors, Bobbin elastic, Textile Flowers, Water soluble lining, poly pouch, high density sticker, heat transfer sticker, Anglets on draw strings-hooded jacket, Bra cup, bust cup, moulded cups for bra and metal underwire for bra, Hook and bar, extra button covers-plain, ribbons, waist bands, shooterpin, O rings, thermo strips and metal clip, Pin bullets for packing, plastic tag bullets, metal tabs, bows, ring & slider and rings, under Custom notification no12/2013-Customs dated 01.03.2013 by making the amendment in the Notification No. 12/2012-Customs dated 17.03.2012 of Govt. of India, Ministry of Finance

FOR AEPC USE 01. RCMC NO. OF EXPORTER _______________________________________ 02. Name & Address of EXPORTER_______________________________ 03. Importer-Exporter Code No.__________________________ 04. Items to import with HS Code_________________________ 05. Country of Import _______________ 06. Overseas Suppliers Name & Address____________________________ 07. Export Performance Certificate No.___________ Validity______________ 08. Items intended to be imported for which Import Certificate is sought.. 09. In case the imports are applied from Private Bonded Warehouse/SCZ, fill the following information :A) Name of the Private Bonded Warehouse : B) License No._________& Date ________issued by Commissioner Of Customs with the validity (attached self attested copy) C) Whether Licence is valid on the date of application (Please tick Yes/No) Yes No D) Whether Private Bonded Warehouse Provides storage of material permitted Yes No for readymade garments. (Please Tick Yes/No) 10. Quantity & Value of Import (For the imports already effected during 2012-2013 under Custom Notification No. 12/2013-Customs dated 01.03.2013 by making the amendment in the Notification No. 12/2012-Customs dated 17.03.2012 of Govt. of India, Ministry of Finance (Deptt. of Revenue).

Sl No.

ITEM

HS Code

Qty.

Value

Bill of Entry Nos.& Date

b c d e f g h i j k l m

Lining/Interlining Materials Including knitted lining and Interlining. Fastners including buttons & snap fastners, zip fastners including zippers in roll, sliders/pullers & end stoppers lnlay Cards Shoulder Pads Buckles Eyelets Hooks and eyes Rivets Collar stays, collar patties. butterfly and other garment stays including plastic stays Fusible embroidery, motifs Or prints Laces Badges including Embroidered badges Embroidery threads Sewing Thread

43,52,54,55,56 58 59 or 60 52 or Any Chapters Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter

n o p q r s t u v w x y z z(a) z(b) z(c) z(d) z(e) z(f) z(g) z(h)

z(i)

Stones(Other than precious & semi-precious) Sequin Tape, Elastic tape & hook (tape ofwidth not exceeding 75mm, Velcro taps Cord & cord stopper Toggles Poly wadding Materials Stud Elastic cloth and elastic band Quilted wadding materials Beads for embroidery Sample fabric of total length upto 500 metre imported during one financial year Printed Bags Knitted Ribs Anti-theft devices like labels, tags & sensors Bobbin Elastic Textile Flowers Water soluble lining, poly pouch, high density sticker, heat transfer sticker Anglets on draw strings-hooded jacket Bra cup, bust cup, moulded cups for bra and metal underwire for bra Hook and bar, extra button covers-plain, ribbons, waist bands, shooter pin, O Ring, thermo strips and metal clip Pin bullets for packing, plastic tag bullets, metal tabs, bows, ring & slider and rings

Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any Chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter Any chapter

Any chapter Total

11. IC Processing Fee PO/DD/Cheque No.________Date.______________ Amount Rs._____________________ Bank Details ____________________ Branch _________________________ NAME,SIGNATURE OF THE AUTHORISED REPRESENTATIVE & SEAL OF THE EXPORTER. ____________________ ____________________

Enclosures: 01. Export Performance Certificate (original). 02. Bills of Entry concerning imports during 2013-2014 effected under Notification No.12/2013-Customs dated 01.03.2013 which is as per the prevailing Notification No. 12/2012-Customs dated 17.03.2012 and of Govt. of India, Ministry of Finance (Deptt. of Revenue) & subsequently amended vide Corrigendum dated 19.03.2012 and amendment Notification dated 13.09.2012. 03. Affidavit for Lining and interlining materials including knitted lining and interlining. (Format at Annexure-III). 04. Processing fee of Rs.227/- +Service Tax (12.36%) Rs. 28= total Rs. 255/(service tax extra) each IC to be deposited by way of cheque /pay order/DD payable in favour of Apparel Export Promotion Council. PART OF ANNEXURE-III PERFORMA FOR AFFIDAVIT for Add Back/re-credit against surrendered/cancelled Import Certificate(IC) (For import of lining & interlining material including knitted) (ON RS. 10/- STAMP PAPER DULY NOTORISED) AFFIDAVIT This has reference to our Import Certificate No. dated In this regard, we M/s. . .. ... (RCMC No. undertake the following :1. That we have obtained above Import Certificate for (Item) 2. That the said Import Certificate has not been utilized due to 3. It is therefore, requested to re-credit the IC value of Rs. . We undertake that the said original Import Certificate has not been misused under any circumstances by us. We hereby confirm and declare that the statement made above is true and correct to the best of our knowledge. We further indemnify AEPC that in the event of the above statement being found to be incorrect or false/misleading, we will be liable to pay full import duty as mentioned along with the penalty as per custom norms.

COMPANY NAME _______________________________ SIGNATURE OF THE AUTHORISED REPRESENTATIVE & SEAL OF THE EXPORTER __________________________ Dated .. Place ..