(To be Published in the Gazette of India Extraordinary Part | Section 1) Government of India

Ministry of Commerce & Industry Department of Commerce Directorate General of Foreign Trade Udyog Bhawan

Public Notice No. 65 /2015-20 New Delhi, Dated the | 7 March, 2020

Subject:- Proformae of application and end use certificate for implementation of “Global Authorisation for Intra-Company Transfers (GAICT) of SCOMET items / software/ technology” under Para 2.79F in the Handbook of Procedure. (FTP) In exercise of the powers conferred under Paragraph 1.03 of the Foreign Trade Policy 2015-20, the Director General of Foreign Trade (DGFT) hereby notifies the proformae of applications and End Use Certificate for implementation of “Global Authorisation for IntraCompany Transfers (GAICT) of SCOMET items / software/ technology” notified vide Public Notice No. 20/2015-20 dated 24.07.2019, under para 2.79F of the Handbook of Procedures (HBP) of the Foreign Trade Policy (FTP) 2015-20, with immediate effect.

2. The proforme and their applicability to seek export authorisation and post reporting under policy for “Global Authorisation for Intra~-Company Transfers (GAICT) of SCOMET items / software/ technology, as notified vide Public Notice No. 20/2015-20 dated 24.07.2019, is illustrated as under:

|Nameof<br>proforma|Purpose|Relevant<br>Itemscovered<br>Para ofHBP|
|---|---|---|
|ANF20(b)|For filing offline<br>application seeking<br>export authorisation|2.79F (B)(a) |Applications underGAICTaretobe<br>submitted offline, byapplicant<br>exporters, toSCOMET Cell, DGFT(Haqrs)|
|ANF20(c)<br>2S(iv)|intermsofPara2.79F (B)<br>Forsubmission ofpost<br>2.79F (C)(a)<br>Post-reporting obligation against GAICT<br>shipment reporting of<br>authorisations are to be submittedbya<br>each transfer/<br>licensee, on quarterly basis (even,<br>if<br>consignmenton<br>nil) with SCOMET Cell DGFT(Haqrs) in<br>quarterlybasis<br>termsofPara2.79F(C)<br>End Use Certificate (EUC) | 2.79F(C)(b) |The EUC in Appendix 2S(iv), issued by<br>— to be submitted while<br>the<br>parent<br>company<br>abroad,<br>is<br>post-reporting<br>required to be submitted alongwith||
|||shipmentdetails|

3. Effect of this Public Notice: the The proformae of application and end use certificate are being notified to implement dualPolicy on Global Authorisation for Intra-Company Transfers (GAICT) for export/re-export of use SCOMET items / software/ technology, between Indian subsidiary to its foreign parent company and/or to subsidiaries of foreign parent company.

(amitWEhe2 Director General of Foreign Trade Ex-officio Additional Secretary, Government of India E-mail: dgft@nic.in

[Issued from F.No.01/91/180/18/AM-17/EC]

ANF- 2 O(b)

APPLICATION FORM FOR RE-EXPORT OF IMPORTED SCOMET ITEMS/SOFTWARE/TECHNOLOGY (UNDER GLOBAL AUTHORISATION FOR INTRA COMPANY TRANSFER) LISTED IN APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION

[Please see DGFT’s Public Notice No. 20/2015-20 dated 24.07.2019 before filling the application]

1. Applicant Details:	1. Applicant Details:
i<br>IEC
ii. Name
iii.<br>Address	Flat/Plot/Block No.
	Street/Area/Locality
	City
	State														PIN<br>Code
iv.TeleNo.	(1)	Country<br>Code					Area Code													Tel.No.
	(2)
v. Mobile No.		Country<br>Code					Area Code													Fax No.
vi. E-mail address where alerts and<br>notifications to be sent
vii. Company Website
ix. Principal Business Activities of<br>the applicant firm:
x. Is this applicant a parent<br>company?		Yes																		No
xi. If applicant is a subsidiary,then<br>provide following details:		Name											Address													Country of Export (tick the<br>appropriate)
a.<br>Parent Company
b.<br>Other Subsidiaries (to<br>which exports to be made)
xi. License exception given by
1.<br>Country of subsidiary or<br>parent company
2.<br>Name of the country

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Application Fee Details

i. Sr. No. ii. Pay Mode iii. Demand Draft/Bank/Bank Receipt/Electronic Fund Transfer iv. Date of Issue v. Name of the Bank on which drawn vi. Bank Branch on which drawn vii. Amount (Rs)

2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export: ( If required, attach extra sheet (A4 size) in the same format)

2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)	2A. Details of SCOMET items in Appendix 3 to Schedule 2 of ITC (HS) Classifications of Export & Import Items applied for export:( If<br>required, attach extra sheet (A4 size) in the same format)
Sl.<br>No.	SCOMET<br>Category	SCOMET<br>Sub-<br>category	Descr<br>iption<br>of<br>export<br>item/s<br>includin<br>g<br>technica<br>l<br>specific<br>ation	Product<br>Model<br>No. /<br>part No.	ECCN/<br>number on<br>the foreign<br>export<br>control list	<br>ITC (HS)<br>Code No.<br>(if<br>available)	Quantity<br> <br>(<br>	Unit of<br>Quantity<br>G,KG,no., Ltr<br>or MT)	Total FOB Value			End Use<br>Description
									In<br>relevant<br>Foreign<br>Currency(<br>other than<br>USD)	In Rupees	In US$

2B. For Chemical Product (Skip if not applicable)

2B. For Chemical Product (Skip if not applicable)	2B. For Chemical Product (Skip if not applicable)	2B. For Chemical Product (Skip if not applicable)	2B. For Chemical Product (Skip if not applicable)	2B. For Chemical Product (Skip if not applicable)	2B. For Chemical Product (Skip if not applicable)
Chemical Abstract Service (CAS) no.
Is the Chemical Controlled under CWC?	Yes			No
Quantity ((No./MT)

2C. For Encryption items (Information Security Products) (Skip if not applicable)

2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)	2C. For Encryption items (Information Security Products) (Skip if not applicable)
Type of Transaction	Export						Intangible Transfer of<br>Software/Technology
				Re-export			Intangible Transfer of
Section A: Basic Product Information<br>i.<br>Name of the manufacturer<br>ii.<br>Brand<br>iii.<br>Model no./ Part No.

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SECTION B: CRYPTOGRAPHY NOTE (leave, if not applicable)

i. Is the item available and sold from stock at ‘retail selling points’ without restrictions’, to the general public’ through any of the following means?

• (a) Over-the-counter transactions (b) Mail order transactions

(c) Electronic transactions (d) Telephone call transactions If yes, then provide details __________________________________ ii. Can the user easily change the cryptographic functionality of the item what is specified in the manufacture’s specification? Yes No iii. Is the item designed for installation by the user without further substantial support by the supplier? Yes No

SECTION C: TECHNICAL QUESTION (leave, if not applicable)

Does the item contain the following cryptographic functions? 1. A “symmetric algorithm” employing a key length in excess of 56 bits, not including parity bits? Yes No If ‘Yes’ please state the following a) Full name: b) Key Length / bits: c) Is it used for any of the following? i. “Authentication” ii. Digital Signature iii. Data integrity iv. Non-repudiation v. Digital rights management, including the execution of copy protected software vi. Encryption or decryption support of entertainment, mass commercial broadcasts or medical records management vii. Key management in support of any of the cryptographic functions in above 1. (i) to (vi)

d) Encryption algorithm

e) Encryption Functionality

Additional Information (if any)

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2D. In case of Technology and Software (If applicable) ( If required, attach extra sheet (A4 size) in the same format)

2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)	2D. In case of Technology and Software (If applicable)( If required, attach extra sheet (A4 size) in the same format)
						Additional Information (If<br>applicable)
Sl.<br>N<br>o.	SCOM<br>ET<br>categor<br>y	Name of the<br>manufactur<br>er/<br>Producer/S<br>ervice<br>Provider	Brand	Name of<br>Model or<br>Name of<br>Software/<br>Technolo<br>gy	Mod<br>el<br>no./<br>Part<br>No.<br>(If<br>appli<br>cabl<br>e)	Clas<br>s	Typ<br>e	Seri<br>al<br>No.	Version<br>No.	Encrypti<br>on<br>algorith<br>m<br>(If<br>applicabl<br>e)	Encryption<br>Functionali<br>ty(If<br>applicable	Value of<br>technolo<br>gy	Additional<br>Informatio<br>n (if any)

2E. Company’s Information

2E. Company’s Information	2E. Company’s Information	2E. Company’s Information	2E. Company’s Information	2E. Company’s Information	2E. Company’s Information	2E. Company’s Information	2E. Company’s Information
S.no<br>.	SCOME<br>T<br>categor<br>y	Purpose of Import to<br>India under Intra<br>Company Transfer (e.g<br>Design/encryption/rese<br>arch/<br>development/delivery/v<br>alidation/testing)	Imported/Imp<br>orting from<br>parent or<br>subsidiary	Name of<br>company from<br>which imports<br>have been<br>made/ being<br>made	Re-Exports to<br>the parent or<br>subsidiary	Name of the<br>company to<br>which re-exports<br>to be made	Purpose of Re-<br>export(sale, further<br>re-export, or other<br>purpose)

3. Shipment Details (in case of physical export)

i. Port of Loading/Shipment

ii. Port of Discharge

iii. Countries* to which item to be exported

iv. Ultimate Destination Country*

*Insert additional row or sheet, if required for more number of countries

4. DetailsofexportsofSCOMETitems

Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear): (Ifrequired,attachextrasheet(A4size)inthesame format)

4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)	4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)	4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)	4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)	4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)	4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)	4. DetailsofexportsofSCOMETitems<br>Detailsoftheexportlastmade,if noexportwasmadeduringtheprecedinglicensingyear):(Ifrequired,attachextrasheet(A4size)inthesame format)
Sl. No.	Export License No. &<br>Date	Details of items exported		Quantity<br>exported	Country to which<br>exported	DGFT’s (HQ’s)<br>File Number
		Category	Description

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**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))	**5. Shipment Details(**In case of Intangible Transfer of Technology (ITT))
i. Mode of Export (To be discussed)	Over the<br>counter<br>transactions			Mail Order<br>Transactions			Electronic<br>transactions		Telephone<br>call<br>transactions	Others<br>_________
ii. Countries to which item to be exported
iv. Ultimate Destination Country

6A. Purpose of Import to India under Intra Company Transfer (e.g Design, Encryption items, Research/Development, Delivery, Validation, Testing, Other Value added service or any other purpose):

6B. Purpose of Re-export (sale, further re-export, or other purpose):

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----- Start of picture text -----<br> 7. Consignee* Details (If different from ultimate end user)<br>* The DGFT need to be informed in advance in case of any new consignee is involved.<br>i. Name<br>Flat/Plot/Block No.<br>ii.<br>Street/Area/Locality<br>Address<br>City<br>Country Postal Code<br>iii.<br>Country Code Area Code Tel.No.<br>Tele<br>phon<br>(1)<br>e<br>No.<br>(2)<br>Country Code Area Code Fax No.<br>iv. Fax No.<br>v. E-mail<br>----- End of picture text -----<br>

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8. Please indicate the type of supporting documents submitted (via email, fax or post) to DGFT (hqrs). Please number all pages of the supporting documents and indicate the total number of pages at the top right corner of every page. Please note that failing to submit the necessary documents will delay the processing.

• ☐ Technical drawings (Information on Product/Technology)

• ☐ Technical Specifications/Data Sheets/Brochures of the product(s)

• ☐ Documentary Proof that establishes corporate relationship between foreign parent company and the Indian Subsidiaries

• ☐ Relevant Undertakings and Declaration, where applicable

• ☐ Purchase Order/Contract Agreement/Warranty Policy Conditions

• ☐ Export/Re-export Licence(s) from DGFT, where applicable.

• ☐ Export request Letter, where applicable

• ☐ Copy of Master Service Agreement(MSA)/ Contract with the foreign company and the Indian Subsidiary

• ☐ 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 inRupees, Demand Draft No./Electronic Fund Transfer No. and Date and the name & branch ofthebank on which drawn 9B. Jurisdictional Regional Authority (from where the company has been issued IEC or having branch office):

DECLARATION/UNDERTAKING

I / We hereby certifythat:

• (i) I/We hereby declare that the particulars and the statements made in this application are true and correct tothebestofmy/ourknowledgeandbeliefandnothinghasbeenconcealedorheldtherefrom.

• (ii) 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 otherwisewarranted.

• (iii) I/We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Ordersframedthereunder,FTP,HBP,AppendicesandAayatNiryatFormsandITC(HS).

• (iv) I/We hereby certifythat:

  • A. TheentityforwhomtheapplicationhasbeenmadehavenotbeenpenalizedunderanyofthefollowingActs (as amended from time totime):

    • (i) The Customs Act,1962,

    • (ii) The Central Excise Act1944, Central & State GST Act, 2017

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  - (iii) Foreign Trade (Development & Regulation) Act 1992, as amended,and 

  - (iv) The Foreign Exchange ManagementAct,1999; 

  - (v) The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act,1974 

  - (vi) WeaponsofMassDestruction&theirDeliverySystems(ProhibitionofUnlawfulActivities)Act,2005 

• B. None of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm /HUF/Trust, (as the case may be), is/are a Director(s) / Partner(s) / Proprietor / Karta / Trustee in any other Company/ firm / entitywhichisontheDeniedEntityList(DEL)ofDGFTorisinthecautionlistofRBI ;

• C. Neither the Registered Office of the company / Head Office of the firm / 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 thePolicy;

• D.WehaveneitherobtainednorappliedforissuanceofanImporterExporterCodeNumberinthenameofour Registered / Head Office to any other LicensingAuthority.

• (v) I / We hereby declare that I / We have neither 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 RegionalAuthority.

• (vi) We have complied with the conditions of all previous licences / authorisations issued to us for export of SCOMETitemsandwhereverrequiredhavedulyintimatedtheo/oDGFT,NewDelhialongwithdocumentary evidenceregardingreceiptoftheitemsofexportbytheend-userwithinthestipulatedtime.

• (vii) I / We undertake to abide by the provisions of the FT (D & R) Act, 1992, as amended, the Rules and Orders framed there under, FTP, HBP and ITC (HS) and submit all requisite documents to the o/o DGFT (SCOMET Section), failing which I/We shall be liable to action under FT (D & R) Act, 1992 as amended or rules and orders made there under, and the Customs Act,1962.

(viii) IherebycertifythatIamauthorisedtoverifyandsignthisdeclarationasperParagraph9.6ofthePolicy.

==> picture [447 x 235] intentionally omitted <==

----- Start of picture text -----<br> Signature of the Applicant<br>Name<br>Designation<br> Official Address<br>Country Area Code Tel.No.<br>Telephone Code<br>Place:<br>Date:<br>----- End of picture text -----<br>

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ANF- 2 O (c)

APPLICATION FORM FOR POST REPORTING FOR RE-EXPORT OF SCOMET ITEMS/SOFTWARE/TECHNOLOGY

[UNDER GLOBAL AUTHORISATION FOR INTRA COMPANY TRANSFER(GAICT)) LISTED IN APPENDIX 3 TO SCHEDULE 2 OF ITC (HS) CLASSIFICATION

1. General Information

i. GAICT Authorization No. (13 digit) and date

ii. GAICT Authorization date (DD/MM/YY)

==> picture [57 x 9] intentionally omitted <==

----- Start of picture text -----<br> iii. IEC<br>----- End of picture text -----<br>

==> picture [488 x 328] intentionally omitted <==

----- Start of picture text -----<br> iv. Name of the applicant exporter: ___________________________________________________<br>v. Address<br>Flat/Plot/Block No.<br>Street/Area/Locality<br>City<br>PIN<br>State Code<br>vi. Tele No.<br>Country<br>Code Area Code Tel.No.<br>(1)<br> (2)<br>vii. Fax no .<br>Country Code<br>Area Code Fax No.<br>----- End of picture text -----<br>

1

2. Details of the shipment for (Tick the appropriate)

Quarter	Please tick the period<br>opted	Date of Submission of post-<br>shipment details(dd/mm/yy)
Jan to March
April to June
Julyto September
October to December

3. Items Details

i. Actual flow of items

S.no.	S.no.	SCOMET<br>category/sub<br>category	ECCN/ or control<br>list no. of foreign<br>country by which<br>license exception<br>has been given to<br>India	ECCN/ or control<br>list no. of foreign<br>country by which<br>license exception<br>has been given to<br>India	Date of<br>import	Country of<br>import	Actual<br>Date of<br>export	Country of<br>export	Country of<br>export	Name of the<br>company to<br>which exports<br>to be made
	ii.	Details of the items(Actual export)
		Sl. no. of Items		(1)		(2)			(3)
	1	SCOMET Category
	2	SCOMET Sub-category
	3	Description of export item/s<br>including technical<br>specification
	4	CAS no. (in case of<br>chemicals)
	5	ITC (HS) Code No. (if<br>available)
	6	Product Name
	7	Model<br>Number/Partno./serial no. (If<br>applicable)
	8	Manufacturer
	9	Quantity
	10	Unit of Quantity (G,KG, or<br>MT)
	11	FOB in rupees
	12	FOB in USD
	13	Other relevant information
	14	SB number(export bysea)
	15	SB Date
	16	AWB number
	17	AWB Date
		Basis of Export made<br>FOB/CIF
	18	FOB Value
	19	Port of Export
	20	Countryof export

2

iii. For Software/Technology (Actual exports) (Skip if not applicable)

S. No.	Basic Product Information	1	2	3
1	Name of the<br>manufacturer//service<br>provider(if applicable)
2	Name of the Importer
3	Name of the Exporter
4	Brand
5	Name of<br>Model/Software/Technology
a)	Model no./ Part No. (if<br>applicable)
b)	Class (if applicable)
c)	Type (if applicable)
d)	Serial No. (if applicable)
e)	Version No. (if applicable)
6	Encryption algorithm.<br>(if applicable)
7	Encryption Functionality<br>(if applicable)
8	Value of<br>software/technology
9	Additional Information<br>(if any)

4. Details of Supply Chain

Name of Ultimate<br>Consignee*(if<br>applicable)	Complete Address of Ultimate<br>Consignee (Including Pin code<br>and Telephone no.)	Name of<br>Ultimate End<br>User	Complete address of End User<br>(Including Pin code and<br>Telephone no.)

* The DGFT need to be informed in advance in case of any new consignee is involved.

5. Documents Attached:

Sl. No.	Name of the document	Attached (Yes/No)
1.	EUC from foreignparent companyin appendix 2S(iv)
2.	Purchase Order
3.	Master Service agreement(MSA)/Contract(if amended)
4.	License Exemptionproof & validity (If amended)
5.	Bill of Entry
6.	Other relevant documents(If any)

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APPENDIX- 2 S (iv)

END USE CUM END USER CERTIFICATE IN CASE OF GLOBAL AUTHORIZATION FOR INTRA COMPANY TRANSFER (GAICT)

PART 1: PARTIES CONCERNED

• (a) Name ofExporter

• (b)Name ofConsignee

(c)Consignee’sAddress

• (d) Zip code______________Tele No ________Email_______________Fax

• (e) Nature of usual business of the consignee (e.g., distributor, manufacturer etc.)____________________

• (f) Name ofEnd-User____________________________________________________________________

• (g)End-User’sAddress

• (h) Zip code______________TeleNo.

____Email________________Fax

• (i) SpecificLocationwheretheitemswillbeused(ifdifferentfrom(g))

• (j) Nature of usual business of the End-User (e.g. manufacturer or research)

• (k) Business relationship with the applicant exporter (Parent company/subsidiaries)

• (l) How long has your business relationship with the applicant exporter existed?

(m)Intermediary (if any) _________________________

• (n) Intermediary’s Address_______________________________

PART 2: ITEMS (goods, software, technology)

S.<br>No.	(a) Description of the item(s) (e.g. Name of<br>Manufacturer/Model/Software/Technology, Class, Type, Serial<br>Number)	(b) Quantity/Weight /Value1

(c) Master Service Agreement / Contract Agreement Number& Date of signature

PART 3: DECLARATION

• a) Theitem(s)indicatedinPART2willbeusedas capital equipment/component/raw material /other use for (Intended End use)

• b) Theitem(s)indicatedinPART2arebeingprocessedorincorporatedintoanotherproduct[2] (asdetailedin3aab ove),forsaletoultimateenduserslocatedin __________

• c) I/we certify that the above-mentioned items (as detailed in the referenced purchase order/ master service agreement/other contract agreement) shall not be used for any purpose other than the purpose(s) stated above and that such use shall not be changed nor the items modified or replicated without the prior consent of the Government of India. In case the above-mentioned item(s) include(s) technology- we certify that it will be treated as strictly confidential.

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• d) I/we certify that the items/software/technology indicated in part 2 is/are to be re-exported as per the terms and condition of Global Authorization for Intra Company Transfer (GAICT) policy of the Government of India and shall be allowed only to the entities eligible under authorization for GAICT.

• e) I/we certify that I/we will provide DGFT, Government of India with delivery verification upon its request.

• f) Post shipment verification of the items at the end users site shall be allowed, if required by the Government of India, as may be applicable.

• g) I/we shall not myself/ourself, or through another, cause the items, or replicas, or derivatives thereof to be re-exported/re-transferred/sold without the consent of the licensing authority of the country of the end user, to any party within country of final destination or outside it, unless specifically exempted in the export authorization.

• h) I/We also certify that the above items and/or replicas thereof will not be used to design, develop, acquire, manufacture, possess, transport, transfer and/or used for chemical, biological, nuclear weapons or for missiles capable of delivering weapons of mass destruction and their delivery system. The items will be used for civil purposes only.

• i) I/We also certify that I/we are not a party designated under UNSC sanctioned individual/entities/groups and I/we are neither owned nor controlled by a designated party under UNSC individual/entities/groups.

• j) I/we also certify that all the facts contained in this certificate are true and correct to the best of my knowledge and belief and that I/we do not know of any additional facts that are inconsistent with this certificate.

Signature:

(Signature of authorized signatory)

Company stamp/Official seal__________________________

Name: Designation

Date:

Address: Email: Alternate Email:

Tele No.:

[To be submitted by foreign parent company on its letterhead indicating full chain of supply in case of other subsidiaries are also involved.Any additional page(s) must be signed by the same person who signs this form.

• 1: For Technology exports, value should be mentioned in Part 2(b) 2: Cross this line if it is not applicable]

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