Federation of Indian Chambers of
Commerce and Industry
NB: TO PROCESS, FICCI REQUIRES 24 HOURS FROM
RECEIPT OF CARNET APPLICATION
To be completed by Issuing
Chamber
No..……………………..
EXPRESS SERVICE IS AVAILABLE
(This form should be completed in typescript or by hand in ink and block capitals)
To: Federation of Indian Chambers of Commerce & Industry
I, ………………………………………………………………………. for and on behalf of (name, designation and address of the firm)
…………………………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………..Telephone No. ……………………………. Fax /
E-Mail…………………………………………….. Apply for a Carnet in the name(s) of (give name(s) of accredited persons(s)
who will use the Carnet) ……………………………………………………………………………………. for use in the following countries
(please indicate the number of VISITS being made to each country and those countries being crossed in
TRANSIT).
Name of the Country to
No. of Visits
Transit Country (if any)
No. of Visits
be visit
Requirement of Carnet Period (select as appropriate):
(a) One Year
(b) 6 Months
(c) 3 Months
(d) Less than 3 Months
INTENDED USE OF the Carnet under the following categories ONLY (select as appropriate):
(a) Commercial Samples
(b) International Trade Fair/Exhibition (please give name and place)
(c) Professional Equipment
To be Completed in the Company’s Letter head
UNDERTAKING
I, the undersigned……………………………………………………..……………………. of………………………………………(name, designation
of the authorized person & complete address of the firm) attach the list of goods to be entered in the Carnet (as
GENERAL LIST) and undertake to repatriate the goods in question. Further that the goods will be re-exported from
any country into which they have been temporarily imported within such period as stipulated by any customs.
If the goods are not re-exported, for whatever reason(s), within such period, I accept responsibility for any
negotiations or proceedings with any Customs direct or indirect, and to pay all duties, taxes and charges which
may result from non re-export or failure to observe Customs regulations and requirements both in INDIA and
abroad.
I/We further declare and certify that the value declared against each item of the list is true and correct and in case
FICCI is liable to pay any additional customs duty, penalty, claim etc., I/we undertake to bear the same.
I enclose
1.
2.
Bank Draft / Cash for Rs………………………………… in payment of the Issuing fee.
Security Deposit in the form of Draft / Cash / Guarantee for Rs…………………………………… from the following
Bank
or
Insurance
Company
…….…………………………………………………
…………………………………………………………………………………………(name & address of the bank).
I agree that the Draft / Cash on deposit or Guarantee may be used to reimburse the issuing chamber for any duty,
taxes or charges as above should these be incurred and for any fees charged by the issuing chamber for the issue
or regularization of the Carnet.
I further agree to pay the issuing chamber immediately upon receipt of its demand in writing all or any such sum or
sums of money which it may have paid or be called upon to pay in respect of any professional or other fees, costs,
liabilities and expenses of any nature whatsoever incurred by the issuing chamber as a result of, or in connection
with, the issue of the Carnet.
I have read and understood the conditions of the guarantee, and declare that the above particulars and those in
the list of goods attached are true and correct and I undertake to return the Carnet to the issuing chamber after
use.
The use of a Carnet does not absolve the holder from observing the Customs regulations of the countries
operating the scheme, e.g. import and export prohibitions or restrictions.
Date……………..
Signed………………………………
For and on behalf of _____(Name of the firm)
Director, Secretary, Proprietor, Partner or duly authorized person