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रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. NO. D. L.-33004/99
xxxGIDHxxx
सी.जी.-डी.एलxx.x-GअI.D-E2x3x0x 32020-218854
CG-DL-E-23032020-218854
असाधारण
EXTRAORDINARY
भाग I—खण्ड 1
PART I—Section 1
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 68] नई दिल्ली, मगं लवार, मार् च17, 2020/फाल्ग नु 27, 1941
No. 68] NEW DELHI, TUESDAY, MARCH 17, 2020/PHALGUNA 27, 1941
ubZ fnYyh] 17 ekpZ] 2020
a
-&fons'k O;kikj uhfr 2015&20 ds iSjk 1-03 ds rgr iznÙk
'kfDr;ks a dk iz;ksx djr s gq, egkfuns'kd fon's k O;kikj ¼Mhth,QVh½ ,rn~}kjk fons'k O;kikj uhfr ¼,QVhih½ 2015&20
dh izfØ;k iqLrd ¼,pchih½ ds iSjk 2-79p ds varxZr lkoZtfud lwpuk la- 20@2015&20] fnukad 24-07-2019 ds
}kjk vf/klwfpr ^^LdksesV enks@a lk¶Vos;j@izkS|ksfxdh ds varjk daiuh gLrkarj.k gsrq oSf'od izkf/kdkj&i=
¼th,vkbZlhVh½^^ ds dk;kZUo;u gsrq vkosnuks a vkSj okLrfod mi;ksx izek.k&i= ds izi=ks a dk s rRdky izHkko ls
vf/klwfpr djr s gSaA
2 lkoZtfud lwpuk la- 20@2015&20 fnukad 24-07-2019 ds }kjk ;Fkk vf/klwfpr LdksesV
enks@a Lkk¶Vos;j@izkS|ksfxdh ds varjk daiuh gLrkarj.k gsrq oSf'od izkf/kdkj Ik= ¼th,vkbZlhVh½^^ gsrq uhfr ds varxZr
fu;kZr izkf/kdkj&i= izkIr dju s vkSj Ik'p fjiksfVZax dju s gsrq izi=ks a vkSj mudh iz;ksT;rk dh fuEukuqlkj O;k[;k dh
tkrh gS%&
1490 GI/2020 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
fu;kZr izkf/kdkj i= dh 2-79 p ¼[k½ ¼d½ Tkh,vkbZlhVh ds rgr vkosnuks a dks iSjk
ekax dju s ds fy, 2-79p ¼[k½ ds vuqlkj Ldkes Vs izdks’B] fonsk'k
vkWQykbu vkosnu izLrqr O;kikj egkfuns'kky; ¼eq[;ky;½ dks vkosnd
dju s gsrq fu;kZrdks a }kjk vkWQykbu izLrqr fd;k tkuk
pkfg,A
frekgh vk/kkj ij izR;sd 2-79 p ¼x½ ¼d½ Tkh,vkbZlhVh izkf/kdkj&i=ks a ds rgr
gLrkarj.k@[ksi dh Ik'p Ik'p&fjiksfVaZx nkf;Ro dks iSjk 2-79p ¼x½ ds
iksrynku fjiksfVaZx dks vuqlkj LdksesV izdks’B] fons'k O;kikj
izLrqr djus gsrq egkfuns'kky; ¼eq[;ky;½ dks frekgh ¼Hky s gh
“kwU; gks½ vk/kkj ij ykblsla /kkjh }kjk izLrqr
fd;k tkuk gSA
iv okLrfod mi;ksx 2-79p ¼x½ ¼[k½ fon's k eas fLFkr ewy daiuh }kjk tkjh fd;k
izek.ki= ¼bZ;wlh½&Ik'p& x;k ifjf'k’V 2/k ¼iv½ es bZ;wlh dks iksrynku
fjikfsVZax djrs le; fooj.k ds lkFk izLrqr djuk visf{kr gSA
izLrqr fd;k tkuk gSA
3-
Hkkjrh; lgk;d daiuh vkSj bldh ewy fon”s kh daiuh vkSj@vFkok fons”kh eyw daiuh dh lgk;d daiuh ds chp
nksgjs mi;ksx okyh Ldkes Vs enks@a Lkk¶Vos;j@izkS|ksfxdh ds fu;kZr@iqu% fu;kZr gsrq varjk daiuh gLrkarj.k ds fy,
oSf”od izkf/kdkj&i= ¼th,vkbZlhVh½ laca/kh uhfr ds dk;kZUo;u gsrq vkosnu vkSj okLrfod mi;ksx izek.ki= ds izi=ks a
dks vf/klwfpr fd;k tk jgk gSA
vfer ;kno egkfuns'kd] fons'k O;kikj ,oa
inus vij lfpo
[ ]
[—Ik;k vkosnu Hkjus ls iwoZ lkoZtfud lwpuk la- 20@2015&20] fnukad 24-07-2019 ns[a ks]
. :
i. vkÃÃlh
ii. uke
¶ySV@IykV@CykWd
ua-
iii. irk xyh@{ks=@bykdk
uxj
jkT; fiu
dksM
n 's k d k {ks= d¨M njw Hkk’k ua-
iv. njw Hkk’k la- ¼1½ d¨M
¼2½
v. eksckby ua- n's k dk {ks= d¨M QSDl ua-
d¨M[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 3
vi. Ã-eys irk tgk¡ lwpuk vkSj
vf/klwpukvks a dks Òstuk gS
vii. daiuh osclkbV
ix. vkosnd QeZ ds eq[; O;oLkk;
dk;ZdYkki
x. D;k ;g vkosnd eyw daiuh gSA Tkh gk¡ Tkh ugha
xi. ;fn vkosnd lgk;d daiuh gS rks Ukke irk fu;kZr ns'k
fuEufyf[kr fooj.k iznku djsaA ¼mfpr ij fu'kku yxk,¡½
d. eyw daiuh
[k- vU; lgk;d daifu;k¡
¼tgk¡ fu;kZr fd;k tkuk gS½
xi. }kjk nh xbZ ykblsla NwV
1. Lkgk;d daiuh ;k eyw daiuh dk
ns'k
2. ns'k dk uke
i. Øe la-
ii. osru eksM
iii. ekax i=@cSad@cSad jLkhn@byDs Vªkfud fuf/k
gLrkarj.k
iv. Tkkjh djus dh rkjh[k
v. cSad dk uke tgka vkgfjr fd;k x;k gS
vi. cSad “kk[kk dk uke tgk vkgfjr fd;k x;k gSA
vii. jkf'k ¼#i;s es½a
.
2
jlk;fud lkj lsok ¼lh,,l½ ua-
D;k jlk;u lhMCY;wlh ds rgr fu;af=r gS?
Tkh gk¡ Tkh ugh
Ekk=k ¼ua-@ehfVªd Vu½4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
2
Yksu&nsu dk izdkj
fu;kZr Ikqufu;kZr lkW¶Vos;j
@izkSn~;ksfxdh dk
verw Z gLrkarj.k
i. fuekZrk dk uke
ii. czkaM
iii. ekWMy ua-@Hkkx ua-
i- fuEufyf[kr fdlh ek/;e ls vke turk ds fy, fcuk fdlh izfrca/k ds ^QqVdj foØ; LFky ij en HkaMkj
eas miyC/k gS vkSj cspk x;k gS?
¼d½ dkmaVj ij ysu&nsu
¼[k½ esy vkMZj ls ysus&nsu
¼x½ byDs Vªkfud ysu&nus
¼?k½ nwjHkk’k yus &nus
;fn gka rks fooj.k iznku djs a ____________________________
ii. D;k miksxdrkZ vklkuh ls en dh fØi~VksxzkfQd dk;Z{kerk dks cny ldrk gS tks fuekZrk ds fofunsZ”k eas
fofufnZ’V gS
th gk¡ th ugha
iii. D;k vkiwfrZdrkZ ds vkxs Ik;kZIr lg;ksx ds fcuk mi;ksxdrkZ }kjk laLFkkiuk ds fy, en fMtkbu fd;k x;k
gSA
th gk¡ th ugha
D;k bl en e s fuEufyf[kr fØIk~VksxkfQd dk;Z “kkfey gSa
1- ,d lefer; ,yxksfjFke ftudh ySaFk 56 fcVl~ ls vf/kd gks] ftleas lerk f};d “kkfey u gksa?
th gk¡ th ugha
;fn ^gk^a rks —Ik;k fuEufyf[kr fooj.k nas
¼d½ iwjk uke%
¼[k½ eq[; yaSFk@fcV~l
¼x½ D;k bls fuEu esa ls fdlh ds fy, mi;ksx fd;k tkrk gS?
i. Ikzek.khdj.k
ii. fMfTkVy gLrk{kj
iii. MsVk lexzrk
iv. Ukksu fjiqfM,”ku
v. izfrfyfi lajf{kr lkW¶Vos;j ds fu’iknu lfgr fMftVy vf/kdkj izca/ku
vi. ,ufØi”ku ;k fMfØi”ku euksjatu] cMs iSekus ij okf.kfT;d izlkj.k ;k fpfdRlk fjdkMZ
izca/ku[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 5
vii. mijksDr 1 ¼i½ ls ¼iv½ es a fdlh Hkh fØi~VksxzkfQd dk;kZs a ds leFkZu es a eq[; izca/ku
¼?k½ ,ufØi~”ku ,yxksfjFke
¼M-½ ,ufØIk~”ku dk;Z{kerk
Øe Ekwy vFkok ml Ekwy ;k ml daiuh dk
la- lgk;d daifu;ksa daiuh lgk;d uke ftles a
ls dk uke daifu;k sa eas iqu% fu;kZr
vk;kfrr@vk;kr ftlls iqu% fu;kZr fd;k tkuk ¼fcØh] vkxs
gks jgsA vk;kr gSA iqufu;kZr ;k
fd;k vU; mís”;½
x;k
gS@fd;k
tk jgk
gSA
:
i. ynku@i¨r ynku dk iÙku
ii. fMLpktZ dk iÙku
iii. n's k ftls en dk fu;kZr fd;k tkuk gS
1.
2.
iv. vafre xUrO; n's k*
1.
2.
*vf/kd ns”kks a dh la[;k ds fy, ;fn vko”;d gS rks vfrfjDr iafDr ;k “khV layXu dja s6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
.
5.
dkMa Vj ij eys vkMZj byDs Vªkfud njw Hkk k vU;
i. fu;kZr dk rjhdk
yus &s nus yus &nsu yus &nsu yus &s nus
¼ppkZ dh tkuh gSA½
________
ii. n”s k tgka en dk fu;kZr fd;k tkuk gSA
iv. vafre xarO; n”s k
¼mnkgj.k ds fy, fMtkbu] ,ufØi~”ku
ens]a vuqla/kku@fodkl] forj.k] oS/khdj.k] tkaap] vU; eYw ; of/kZr lsok ;k dksbZ vU; mís”;½
¼fcØh] vkxs iqufuZ;kZr ;k vU; mís”;½%
¼vxj vafre mi;ksxdrkZ ls fHkUu½
¼;fn dksbZ u;k [ksi drkZ “kkfey gksrk gS rks Mhth,QVh dks vfxze lwpuk fn, tkus dh vko”;drk gSA½
i. uke
¶ySV@IykWV@CykWd
ua-
ii. irk xyh@{ks=@bykdk
uxj
n's k Mkd dksM
n 's k d k { ks= d¨M Vys h u-a
iii. Vys hQ¨u ua- (1) d¨M
(2)
iv. QSDl ua- n's k dk {ks= d¨M QSDl ua-
d¨M
v. Ã-eys[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 7
8.
☐ rduhdh vkgj.k ¼mRiknu@izkSn~;ksfxdh ij lwpuk½
☐ mRiknks a ds rduhdh fofunsZ”k@MsVk “khV@czks”kj
☐ nLrkosth izek.k tks fons”kh eyw daiuh vkSj Hkkjrh; lgk;d daifu;ks a ds chp lg;ksx laca/k LFkkfir djrk gSA
☐ lacaf/kr cpuc)rk vkSj ?kks’k.kk tgk¡ ykxw gks
☐ [kjhn vkn”s k@djkj le>kSrs@okjaVh uhfrxr “krsZa
☐ Mhth,QVh ls fu;kZr@iqufuZ;kZr ykbZlsla ] tgk¡ ykxw gksA
☐ fu;kZr vuqjks/k i=] tgk¡ ykxw gksA
☐ fon”s kh daiuh vkSj Hkkjrh; lgk;d daifu;ks a ds lkFk eq[; lsok le>kSr s djkj ¼,e,l,½ dh izfrA
☐ fon”s kh ewy daiuh ds ns”k ds fu;kZr fu;a=.k ykblsfalx izkf/kdj.k }kjk iznku dh xbZ ykblsla NwV nLrkosth
izek.k] oS/krk lfgrA
☐ Hkkjrh; lgk;d daiuh }kjk viuk;h tk jgh eyw daiuh ds vkbZlhih dh vfHkizekf.kr izfrA
☐ mRiknks a ds rduhdh fofunsZ”k@MsVk “khV@czks”kj tgk¡ ykxw gksA
i. th,vkbZlhVh lanÒZ la[;k
ii. Qkby la[;k vkSj tkjh dju s dh frfFk
iii. vkosnu 'kqYd tek dju s dk fooj.k tSls jkf'k :i,
eas] fMekaM MªkQ la-@byDs Vªkfud QaM VªkaUlQj la- vkSj
rkjh[k] rFkk cSad dk uke vkSj irk tgka vkgfjr gSA
.
Tkgk¡ ls dEiuh dks vkbZbZlh tkjh fd;k x;k gS ;k tgk¡
ij czkap vkfQl gSA8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
1.
(i) eSa@ge ,rn~}kjk Ĩ’k.kk djrk gw¡@djr s gSa fd bl vkosnu eas fn;s x;s C;©j s vkSj fooj.k
ejs h@gekjh tkudkjh vkSj foÜokl ds vuqlkj lR; vkSj lgh gSa vkSj blea s dqN Hkh fNik;k vFkok
jksdk ugha x;k gSA
(ii) eSa@ge iw.kZr;k le>rk gw¡@le>rss gSa fd vkosnu eas nh xà d¨Ã Òh tkudkjh xyr ;k >wBh
lkfcr g¨xh r¨ fof/k }kjk fu/kkZfjr ;k vU;Fkk visf{kr d¨Ã Òh n.MkRed dkjZokà vFkok ifj.kke
eq>s@geas Òqxrus iM+ ldr s gSaA
(iii) eSa@ge ;Fkk la”kksf/kr fon's k O;kikj ¼fodkl ,oa fofue;u½ vf/kfu;e] 1992 ds Áko/kku¨a rFkk
fon's k O;kikj uhfr ÁfØ;k iqLrd ifjf”k’V vkSj vk;kr fu;kZr izi=ks a vkSj vkÃVhlh ¼,p,l½ ds
varxZr cu s fu;e¨a vkSj vkns'k¨a ds ikyu djus dh 'kiFk ysrk gw¡@ysrs gSaA
(iv) eSa@ge ,rn~}kjk izekf.kr djrk gw¡@djr s gSa fd%
d- QeZ ftlds fy, vkosnu fd;k x;k gS d¨ fuEufyf[kr fdlh Òh vf/kfu;e ¼le;-le; ij
;Fkkla'k¨f/kr½ ds v/khu nf.Mr ugÈ fd;k x;k gS%
i. lhek'kqYd vf/kfu;e] 1962
ii. dsUæh; mRikn 'kqYd vf/kfu;e] 1944( dsUnzh; vkSj jkT; th,lVh vf/kfu;e] 2017
iii. fon's k O;kikj ¼fodkl ,oa fofu;eu½ vf/kfu;e] 1992 ;Fkkla'k¨f/kr vkSj
iv. fon's k fofue; ÁcU/ku vf/kfu;e] 1999
v. fons”k fofue; laj{k.k] rLdjh xfrfof/k fuokj.k vf/kfu;e] 1974
vi. lkefwgd fouk”k dk vL= rFkk mudh forj.k iz.kkyh ¼XkSj&dkuwuh xfrfof/k ij izfrca/k½
vf/kfu;e 2005
[k. dEiuh@QeZ@,p;w,Q@U;kl ¼tSlk Òh ekeyk g¨½ dk d¨Ã Òh funs'kd@lk>snkj
@Lokeh@drkZ@U;klh@QeZ@,p;w,Q@U;klh fdlh vU; dEiuh@ QeZ@laLFkk t¨
Mhth,QVh dh vik= Ĩf’kr lwph ¼MhÃ,y½ eas gS] dk funs'kd@lk>snkj@ Lokeh@
dÙkkZ@U;klh ugÈ gSaA
x. u r¨ dEiuh ds iathÑr dk;kZy;@QeZ ds eq[;ky; vkSj u gh mlds fdlh 'kk[kk
dk;kZy; ¼;¨a½ ;wfuV ¼V¨a½@fMfotu ¼u¨a½ d¨ pwddrkZ Ĩf’kr fd;k x;k gS vkSj u gh
uhfr ds fdlh Áko/kku ds v/khu vk;kRk@fu;kZr djus ds fy, vik= Ĩf’kr fd;k x;k
gSA
?k. geus viu s iathÑr@eq[;ky; ds fy, fdlh vU; ykblsfalax Ákf/kdkjh ls vk;krd
fu;kZrd d¨M la[;k ÁkIr ugÈ dh gS vkSj u gh vkosnu fd;k gS
(v) eSa@ge ,rn~}kjk Ĩ’k.kk djrk gw¡@djr s gSa fd eSau@s geus viu s iathÑr@e[q ; dk;kZy; ;k
viuh fdlh 'kk[kk@;wfuV@fMohtu ds uke es a ,sls ykÒ ¼vk;krd fu;kZrd d¨M la[;k tkjh
dju s lfgr½ fdlh vU; {ks=h; Ákf/kdkjh ls u r¨ ÁkIr fd, gS vFkok ÁkfIr gsrq vkosnu fd;k gSA
(vi) geus Ld¨eSV en¨a ds fu;kZr ds fy, ges a tkjh lÒh fiNys ykblsla ¨a@Ákf/kdkj i=¨a dh 'kr¨± dk
ikyu fd;k gS rFkk vko';drk iM+us ij fu/kkZfjr le; ds Òhrj vfUre Á;¨äk }kjk fu;kZr dh
en¨a dh ÁkfIr ds laca/k eas nLrkosth lk{; ds lkFk fons'k O;kikj egkfuns'kky;] uà fnYyh d¨
fof/kor :i ls lwfpr fd;k gSA
(vii) eSa@ge le;-le; ij ;Fkkla'k¨f/kr fons'k O;kikj ¼fodkl ,oa fofu;e½ vf/kfu;e] 1992 mlds
rgr cu s fu;e¨a vkSj vkn's k¨a] fon's k O;kikj uhfr] ÁfØ;k iqLrd vkSj vkÃVhlh ¼,l,p½ ds
Áko/kku¨a ds ikyu rFkk fons'k O;kikj egkfuns'kky; ¼Ld¨eVs vuqÒkx½ d¨ lÒh visf{kr nLrkost
l©aiu s dh 'kiFk yrs k gw¡@ysrs gSa ftlds u dju s ij eSa@ge ;Fkk la'k¨f/kr fon's k O;kikj ¼fodkl[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 9
,oa fofu;eu½ vf/kfu;e] 1992 ;k mlds rgr cus fu;e¨a vkSj vkns'k¨a rFkk lhek'kqYd vf/kfu;e]
1962 ds v/khu dkjZokà ds fy, ftEesokj g¨axsA
(viii) eSa ,rn~}kjk izekf.kr djrk gw¡ fd eSa fons'k O;kikj uhfr ds iSjk 9-06 ds vuqlkj bl Ĩ’k.kk d¨
lR;kfir dju s vkSj gLrk{kj djus ds fy, vf/kÑr gw¡A
n's k dk {ks= d¨M Vys h u-a
d¨M
[ ]
[—Ik;k vkosnu Hkjus ls iwoZ lkoZtfud lwpuk la- 20@2015&20] fnukad 24-07-2019 ns[a ks]
i.
ii.
iii.
iv. _____________________
v.10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
vi.
(1)
(2)
vii.
tuojh ls ekpZ
vçSy ls twu
tqykà ls flrca j
vDVcw j ls fnlacj
i.
ii.
(1 ) (2) (3)
1
LdkseSV oxhZdj.k
2
LdkseSV mi&oxhZdj.k
Rkduhdh fof”k’Vrk lfgr fu;kZr en@enks a dk
3 fooj.k
4
Lkh,,l la- ¼;fn jlk;u gks rks½
5
vkbZVhlh ¼,p,l½ dksM la- ¼;fn miyC/k gS½
6
mRikn dk uke
7
ekWMy la[;k@Hkkx la-@Ø-la-
8
fofuekZrd
9
ek=k
10
ek=k dh bdkà ¼xkz fd- xzk- vFkok fe- V-½
11
,Qvksch #i;s esa
12
,Qvksch vesfjdh MkWyj esa
13
vU; lacaf/kr tkudkjh
14
,lch ua- ¼leqn z ls fu;kZr½
15
,lch rkjh[k
16
,MCY;wch ua-[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 11
17
,MCY;wch rkjh[k
fd, x, fu;kZr dk vk/kkj ,Qvksch@lhvkbZ,Q
18
,Qvksch eYw ;
19
fu;kZr dk iÙku
20
fu;kZr dk n's k
iii.
1 2 3
1 fofuekZrd dk uke@lsok iznrk ¼;fn ykxw gS rks½
2 vk;krd dk uke
3 fu;kZrd dk uke
4 czkaM
5 ekWMy dk uke@izkSn~;ksfxdh vkSj LkkW¶Vos;j
d- eMy la-@Hkkx la- ¼;fn ykxw gS rks½
[k- oxZ ¼;fn ykxw gS rks½
x- çdkj ¼;fn ykxw gS rks½
?k- Øe la[;k ¼;fn ykxw gS rks½
M- laLdj.k ¼;fn ykxw gS rks½
6 ,fUØI'ku ,YxksfjFke ¼;fn ykxw gS rks½
7 ,fUØI'ku dk;Z{kerk ¼;fn ykxw gS rks½
8 lkW¶Vos;j@çkS|ksfxdh dk ewY;
9 vfrfjä tkudkjh ¼;fn dksà gks½
*
*¼;fn dksbZ u;k [ksi drkZ “kkfey gksrk gS rks Mhth,QVh dks vfxze lwpuk fn, tku sdh vko”;drk gSA½
d- ifjf”k’V 2/k ¼iv½ es ewy daiuh ls bZ;wlh
[k- Ø ; vkn's k
x- ekLVj lsok le>kSrk ¼,e,l,½@lafonk
¼;fn la”kksf/kr fd;k x;k gS½
?k- Ykkblsla dh NwV dk izek.k vkSj oS/krk
¼;fn la”kksf/kr fd;k x;k gS½
M- Ikzfof’V fcy
p- vU; lacaf/kr nLrkost ¼;fn dksbZ gSa½
******12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
iv
:
¼d½ fu;kZrd dk uke
¼[k½ ijsf’kfr dk uke
¼x½ ijsf’kfr dk irk
¼?k½ fti dksM ________nwjHkk’k la- __________ bZesy________________QSDl ___________
¼M-½ ijsf’kfr ds lkekU; O;kikj dh iz—fr ¼mnkgj.k ds fy, forjd@fofuekZrd vkfn½ _________________
¼p½ vafre mi;ksxdÙkkZ dk uke ________________________________________________
¼N½ vafre mi;ksxdÙkkZ dk irk
¼t½ fti dksM ________nwjHkk’k la- ___________bZesy________________QSDl ___________
¼>½ fof”k’V LFkku tgka enks a dk iz;ksx fd;k tkuk gS ¼;fn ¼p½ ls fHkUUk gS rks½
¼¥½ vafre mi;ksxdÙkkZ ds lkekU; O;kikj dh iz—fr ¼mnkgj.k fofuekZrd vFkok “kks/k½
________________________
¼V½ fu;kZrd vkosnudÙkkZ ds lkFk O;kikj laca/k ¼ewy daiuh@lgk;d daiuh½ ________________________
¼B½ vkidk ekStwnk fu;kZrd vkosnudÙkkZ ls fdrus le; ls O;kikfjd laca/k gS? ______________________
¼M½ e/;LFk ¼;fn gS½ _____________________________
¼<½ e/;LFk dk irk _______________________________
(x) eq[; lsok le>kSrk@vuqca/k le>kSrk la[;k vkSj gLrk{kj dh rkjh[k
¼d½ Hkkx 2 es a lwfpr en@¼ensa½ dk iz;ksx iwta hxr midj.k@la?kVd@dPpk eky@vU; iz;ksx ds rkSj ij fd;k tk,xk
¼vafre iz;ksx ls vfHkizsfjr½
¼[k½ Hkkx 2 es a lwfpr en ¼ens½a tks izfØ;k es a gSa vFkok vU; mRikn 2 ea s lfEEkfyr gSa ¼tSls fd Åij 3d es a of.kZr gS½]
vafre iz;ksDrk dks fcØh ds fy, ________________ es a fLFkr gSA
¼x½ eSaa@ge ;g Hkh çekf.kr djrk gw¡wa/djr s gSa fd mij&mfYYkf[kr enks a ¼lanfHkZr Ø; vkn”s k@ ekLVj lsok
le>kSrk ¼,e,l,½@vU; lafonk le>kSrk e s ;Fkk of.kZr½ dk mi;ksx mij mfYYkf[kr iz;kstu ¼iz;kstuks½a ds
vykok fdlh vU; iz;kstu ds fy, ugh a fd;k tk,xk vkSj ,sls ç;ksx dks Hkkjr ljdkj dh iwoZ&lgefr ds
fcuk ifjofrZr ugh a fd;k tk,xk] u gh enks a dks :ikUrfjr fd;k tk,xk vFkok u gh budh udy cukbZ
tk,xhA mi;qZDr of.kZr en ¼enks½a dh izkS|ksfxdh ds laca/k eas ge ;g izekf.kr djr s gSa fd bls vR;ar xksiuh;
le>k tk,xkA[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 13
¼?k½ eSa@ge ,rn~}kjk ;g izekf.kr djrk gw@¡ djrs gSa fd Xykscy vkWFkksjkbts+”ku QkWj baVjk daiuh VªkalQj ¼th,vkbZlhVh½ ds
fu;e vkSj “krksa Z ds vuqlkj Hkkjr ljdkj dh uhfr dsoy th,vkbZlhVh gsrq izkf/kdkj&i= ds varxZr ik= daifu;ks a ds
fy, vuqer gksxhA
¼M-½ eSa@ge izekf.kr djrk gw@¡ djrs gSa fd eS@ge fons”k O;kikj egkfuns”kky; Hkkjr ljdkj dks muds vuqjks/k ij forj.k
lR;kiu miyC/k djkšxk@djsxa sA
¼p½ Hkkjr ljdkj }kjk ;fn vko”;d gks okLrfod iz;ksDrk LFkyks a ij enks a dh iksr ynku i”pkr tkap]
TkSlk Hkh ykxw gks] dh vuqefr gksxhA
¼N½ eSa@ge Lo;a vFkok fdlh vU; ds }kjk enka s ;k udy vFkok O;qRkiUu ds ckn iqu% fu;kZr@iqu% gLrkarj.k@fcØh] vafre
iz;ksDrk ds n”s k dh ykblsfalax izkf/kdkjh dh lgefr ds fcuk vafre xarO; ns”k ds Hkhrj vkSj ckgj ugha d#¡xk@djsxa s
tc rd fd fu;kZr izkf/kdkj i= ls fof”k’V NwV izkIr u gksA
¼t½ eSa@ge ;g Hkh izekf.kr djrk gw@¡ djrs gSa fd Åij of.kZr enks a vkSj@vFkok udy dk iz;ksx ckn es a jlk;fud] tSfod]
ukfHkdh; gfFk;kj vFkok lkewfgd foUkk”k ds gfFk;kj pykus dh {kerk okyh felkbyks a ds fMtkbu fodkl] vf/kxzg.k]
fofuekZ.k] izfØ;k] ifjogu] gLrkarj.k muds forj.k iz.kkyh ds fy, ugh d#¡xk@djsxa sA enks a dk iz;ksx dsoy ukxfjd
mi;ksx ds fy, gksxkA
¼>½ eSa@ge ;g Hkh izekf.kr djrk gw@¡ djrsa s gSa fd eSa@ge ;w,u,llh vf/k—r O;fDr@daiuh@lewg ds v/khu ukfer i{k
ugha gSa vkSj eSa@ge ;w,u,llh O;fDr@daiuh@lewg ds v/khu ukfer i{k }kjk u rks LokfeRo vkSj u gh fu;af=r
gw@¡ gSaA
¼¥½ eSa@ge ;g Hkh çekf.kr djrk gw¡w@a djr s gSa fd bl çek.k&i= eas fufgr lHkh rF; ejs h@gekjh vf/kdre
tkudkjh vkSj fo'okl ds vuqlkj lR; vkSj lgh gSa vkSj eSa@ge fdUgha vU; vfrfjDr rF;ks a dks ugh a tkurk
gw@a tkurs gSa tksfd bl çek.k i= ls eys ugha [kkrs A
gLrk{kj: fnukad _________________
(izkf/k—r gLrk{kjdrkZ ds gLrk{kj)
¼daiuh dh eqgj@vkf/kdkfjd eqgj½ __________________________
uke:
in%
irk%
bZesy%
oSdfYid bZesy%
nwjHkk’k%
[vkiwfrZ J`a[kyk dh fons”kh ewy dEiuh ds i= “kh’kZ ij tek djuk gksxkA ;fn vU; lgk;d dEifu;k¡ Hkh vkiwfwrZ Ja[kyk es a
“kkfey gks rks mudk Hkh iw.kZ fooj.k nsA fdlh Hkh vfrfjDr i`’B ¼i`’Bks½a dks mlh O;fDr }kjk gLrk{kfjr gksuk pkfg, tks bl
izi= ij gLrk{kj djr gSA
1- izkS|ksfxdh fu;kZr ds fy, ewY; Hkkx 2 ¼[k½ es a mYys[k fd;k tkuk pkfg,% 2 ;fn ;g ykxw u gks rks bl iafDr dks dkV
nsAa14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
MINISTRY OF COMMERCE AND INDUSTRY
(Department of Commerce)
(DIRECTORATE GENERAL OF FOREIGN TRADE)
Public Notice
New Delhi, Dated the 17th March, 2020
No. 65 /2015-20
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.
F. No. 01/91/180/18/AM-17/EC.—In exercise of the powers conferred under Paragraph 1.03 of the
Foreign Trade Policy (FTP) 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 Intra-
Company 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:
Name of Purpose Relevant Items covered
proforma Para of HBP
ANF2O(b) For filing offline 2.79F (B)(a) Applications under GAICT are to be submitted
application seeking export offline, by applicant exporters, to SCOMET Cell,
authorisation DGFT(Hqrs) in terms of Para 2.79F (B)
ANF2O(c) For submission of post 2.79F (C)(a) Post-reporting obligation against GAICT
shipment reporting of each authorisations are to be submitted by a licensee,
transfer/ consignment on on quarterly basis (even, if nil) with SCOMET
quarterly basis Cell DGFT(Hqrs) in terms of Para 2.79F (C)
2S(iv) End Use Certificate (EUC) 2.79F (C)(b) The EUC in Appendix 2S(iv), issued by the
– to be submitted while parent company abroad, is required to be
post-reporting submitted alongwith shipment details
3. Effect of this Public Notice:
The proformae of application and end use certificate are being notified to implement the Policy on
Global Authorisation for Intra-Company Transfers (GAICT) for export/re-export of dual use SCOMET items /
software/ technology, between Indian subsidiary to its foreign parent company and/or to subsidiaries of foreign
parent company.
AMIT YADAV, Director General of Foreign Trade
Ex-officio Addl. Secy.
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:
i IEC[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 15
ii. Name
Flat/Plot/Block No.
iii.
Address Street/Area/Locality
City
PIN
State Code
Country
Code Area Code Tel.No.
iv. Tele
(1)
No.
(2)
Country
Code Area Code Fax No.
v. Mobile No.
vi. E-mail address where alerts
and notifications to be sent
vii. Company Website
ix. Principal Business Activities of
the applicant firm:
x. Is this applicant a parent Yes No
company?
xi. If applicant is a Name Address Country of Export (tick
subsidiary,then the appropriate)
provide following details:
a. Parent Company
b. Other Subsidiaries (to
which exports to be
made)
xi. License exception given by
1. Country of subsidiary or
parent company
2. Name of the country
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)16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
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)
Sl. SCOMET SCOMET Description Product ECCN/ ITC (HS) Quantity Unit of Total FOB Value End Use
of Model number Quantity Description
No. Category Sub- No. / on the Code No. (G,KG,no., In relevant In I n
category e inx cp lo ur dt
i
nit ge m/s part No. f eo xr pe oig rtn ( ai vf
ailable)
Ltr or MT) F Co ur re reig nn
cy
Rupees US$
technical control (other than
list USD)
specification
2B. For Chemical Product (Skip if not applicable)
Chemical Abstract Service
(CAS) no.
Is the Chemical Controlled Yes No
under CWC?
Quantity ((No./MT)
2C. For Encryption items (Information Security Products) (Skip if not applicable)
Type of Transaction Export Re-export Intangible Transfer
of Software/Technology
Section A: Basic Product Information
i. Name of the manufacturer
ii. Brand
iii. Model no./ Part No.
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?[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 17
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)
Encryption algorithm
Encryption Functionality
Additional Information (if any)
2D. In case of Technology and Software (If applicable) ( If required, attach extra sheet (A4 size) in the same format)
Additional Information
(If applicable)
Sl. SCO Name of the Brand Name of Model Class Type Seri Ver Encry Encryptio Value of Additio
No. MET manufacturer/ Model or no./ al sion ption n techno- nal
categ Producer/Serv Name of Part No. No. algori Functiona logy Informa
ory ice Provider Software/T No. (If thm lity (If tion
echnology applica- applicable (if any)
ble) (If
applic
able)
2E. Company’s Information
S.no. SCOMET Purpose of Import to India under Imported/Importing Name of Re-Exports Name of
category Intra Company Transfer (e.g from parent or company to the the Purpose
Design/encryption/research/ subsidiary from parent or company of Re-
which subsidiary to which
development/delivery/validation/test imports re-exports export
ing) have been to be (sale,
made/ made further
being
re-
made
export, or
other
purpose)18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
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
1.
2.
iv. Ultimate Destination Country*
1.
2.
*Insert additional row or sheet, if required for more number of countries
4. Details of exports of SCOMET items
Details of the export last made, if no export was made during the preceding licensing year): ( If
required, attach extra sheet (A4 size) in the same format)
Sl. Export License Details of items exported Quantity Country to DGFT’s (HQ’s)
No. No. & Date Category Description exported which File Number
exported
5. Shipment Details (In case of Intangible Transfer of Technology (ITT))
Over the Mail Order Electronic Telephone Others
i. Mode of Export (To be discussed) counter Transactions transactions call
transactions transactions
_________
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):
7. Consignee* Details (If different from ultimate end user)
* The DGFT need to be informed in advance in case of any new consignee is involved.
i. Name
Flat/Plot/Block No.
ii.
Address Street/Area/Locality
City[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 19
Country Postal Code
iii.
Country Code Area Code Tel.No.
Tele
phon (1)
e
No.
(2)
Country Code Area Code Fax No.
iv. Fax No.
v. E-mail
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 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):20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
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 there from.
(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 otherwise warranted.
(iii) 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, 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
(vi) Weapons of Mass Destruction & their Delivery Systems (Prohibition of Unlawful
Activities) 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 / entity which is on the Denied Entity List (DEL)
of DGFT or is in the caution list of RBI;
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
the Policy;
D. We have neither obtained nor applied for issuance of an Importer Exporter Code
Number in the name of our Registered / Head Office to any other Licensing Authority.
(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 Regional
Authority.
(vi) We have complied with the conditions of all previous licences / authorisations issued to
us for export of SCOMET items and wherever required have duly intimated the o/o
DGFT, New Delhi along with documentary evidence regarding receipt of the items of
export by the end-user within the stipulated time.
(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) I hereby certify that I am authorised to verify and sign this declaration as per Paragraph
9.6 of the Policy.[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 21
Signature of the Applicant
Name
Designation
Official Address
Country Area Code Tel.No.
Telephone Code
Place:
Date:
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)
iii. IEC
iv. Name of the applicant exporter: ___________________________________________________
v.
Flat/Plot/Block No.
Street/Area/Locality
City
PIN
State Code
vi. Tele No.
Country
Code Area Code Tel.No.
(1)
(2)22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
vii. Fax No.
Country
Code Area Code Fax No.
2. Details of the shipment for (Tick the appropriate)
Quarter Please tick the period Date of Submission of post-shipment details
opted (dd/mm/yy)
Jan to March
April to June
July to September
October to December
3. Items Details
i. Actual flow of items
Sl.No. SCOMET category/sub ECCN/ or control list Date of Country of Actual Country of Name of the
category no. of foreign country import import Date of export company to
by which license export which exports to
exception has been be made
given to India
ii. Details of the items (Actual export)
Sl. no. of Items (1 ) (2) (3)
1 SCOMET Category
2 SCOMET Sub-category
Description of export item/s including technical
3 specification
4 CAS no. (in case of chemicals)
5 ITC (HS) Code No. (if available)
6 Product Name
7 Model Number/Part no./serial no. (If applicable)
8 Manufacturer
9 Quantity
10 Unit of Quantity (G,KG, or MT)
11 FOB in rupees
12 FOB in USD
13 Other relevant information
14 SB number (export by sea)
15 SB Date
16 AWB number
17 AWB Date
Basis of Export made FOB/CIF
18 FOB Value
19 Port of Export
20 Country of export
iii. For Software/Technology (Actual exports) (Skip if not applicable)
S. Basic Product Information 1 2 3
No.
1 Name of the manufacturer/ /service provider
(if applicable)
2 Name of the Importer[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 23
3 Name of the Exporter
4 Brand
5 Name of Model/Software/Technology
a) Model no./ Part No. (if applicable)
b) Class (if applicable)
c) Type (if applicable)
d) Serial No. (if applicable)
e) Version No. (if applicable)
6 Encryption algorithm.
(if applicable)
7 Encryption Functionality
(if applicable)
8 Value of software/technology
9 Additional Information (if any)
4. Details of Supply Chain
Name of Ultimate Complete Address of Ultimate Name of Complete address of End
Consignee* (if Consignee (Including Pin code Ultimate End User (Including Pin code
applicable) and Telephone no.) User and 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 foreign parent company in appendix 2S(iv)
2. Purchase Order
3. Master Service agreement (MSA)/Contract (if amended)
4. License Exemption proof & validity (If amended)
5. Bill of Entry
6.
Other relevant documents (If any)
***24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I—SEC. 1]
APPENDIX- 2 S (iv)
END USE CUM END USER CERTIFICATE IN CASE OF GLOBAL AUTHORIZATION FOR
INTRA COMPANY TRANSFER (GAICT)
P ART 1: PARTIES CONCERNED
(a) Name of Exporter
(b) Name of Consignee
(c) Consignee‘s Address
(d) Zip code______________Tele No __________________Email_______________Fax__________
(e) Nature of usual business of the consignee (e.g., distributor, manufacturer etc.)____________________
(f) Name of End-User ____________________________________________________________________
(g) End-User‘s Address
(h) Zip code______________Tele No. ________________Email________________Fax____________
(i) Specific Location where the items will be used (if different from (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. (a) Description of the item(s) (e.g. Name of (b) Quantity/Weight /Value1
No. Manufacturer/Model/Software/Technology, Class, Type, Serial
Number)
(c) Master Service Agreement / Contract Agreement Number & Date of signature
PART 3: DECLARATION
a) The item(s) indicated in PART 2 will be used as capital equipment/component/raw material /other use
for (Intended End use)
b) The item(s) indicated in PART 2 are being processed or incorporated into another product2 (as detailed
in3a above), for sale to ultimate end users located in __________
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.[भाग I— खण् ड 1] भारत का रािपत्र : असाधारण 25
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) Date: ________
Company stamp/Official seal__________________________
Name: _______________________________
Designation _______________________________
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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Controller of Publications, Delhi-110054.