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E12                         EXCISE LAW TIMES                    [ Vol. 372

                                         Documentary Proof of License Exception granted by the export control licensing authority of
                                          country of the foreign parent company with validity
                                         A self-certified copy of the ICP of the parent company being adopted by Indian subsidiary;
                                         Technical Specifications/Data sheets/Brochures of the product(s), where applicable.

                                                    For Use in DGFT office only (To be filled by the applicant).
                                     9A.  Application Submission Details if submitted electronically) :
                                     i.   GAICT Registration no.
                                     ii.  File Number & Date of Issue
                                     iii.  Application Fee submission  details
                                        viz. Amount in Rupees, Demand
                                        Draft No./Electronic Fund Transfer
                                        No. and Date and the name & branch
                                        of the bank on which drawn
                                     9B. Jurisdictional  Regional  Authority
                                        (from where the company has been
                                        issued IEC or having branch office) :

                                                             DECLARATION/UNDERTAKING
                                     I/We hereby certify that :
                                            (i)  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 therefrom.
                                            (ii)  I/We fully understand that any information furnished in the applica-
                                                 tion if found incorrect or false will render me/us liable for any penal
                                                 action or other consequences as may be prescribed in law or other-
                                                 wise warranted.
                                            (iii)  I/We undertake to abide  by the  provisions of the FT (D & R) Act,
                                                 1992,  as amended,  the Rules and Orders framed thereunder, FTP,
                                                 HBP, Appendices and Aayat Niryat Forms and ITC (HS).
                                            (iv)  I/We hereby certify that :
                                                   A.  The entity for whom the application has been made have
                                                        not been penalized under any of the following Acts (as
                                                        amended from time to time) :
                                                         (i)   The Customs Act, 1962,
                                                         (ii)  The Central  Excise Act,  1944, Central  & State GST
                                                              Act, 2017
                                                         (iii)  Foreign Trade (Development & Regulation) Act
                                                              1992, as amended, and
                                                         (iv)  The Foreign Exchange Management Act, 1999;
                                                         (v)  The Conservation of Foreign Exchange, Prevention
                                                              of Smuggling Activities Act, 1974



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