APPLICATION FORM FOR A REBATE PERMIT TO ASSEMBLERS OF TELEVISION SETS UNDER REBATE ITEM 316.17/85.29/01.04 PLEASE NOTE: 1. It is imperative to provide the information requested in the attached document titled ITAC GUIDELINES FOR ISSUING A REBATE PERMIT TO ASSEMBLERS OF TELEVISION SETS UNDER REBATE ITEM 316.17 before completing this application form. 2. The 316.17 rebate item provides for a rebate of the customs duty on goods used in the manufacture of television sets. If the space provided for on the application form is insufficient, please use the lay-out of the application form as a guideline of the form in which the requested information should be submitted. 1. DETAILS OF APPLICANT Applicant: ________________________ Postal address: ____________________ ____________________ Importer’s code:___________________ ____________________ ____________________ VAT registration no: _______________ Contact details of applicant: Physical address where manufacturing took place: ____________________ Contact person: ___________________ ____________________ ____________________ Telephone no.: ___________________ ____________________ ____________________ Cell no.: ___________________ Fax no.: ___________________ Email address: ___________________ Before completing this form it is important that Rebate provision 317.16 as well as ITAC’s guidelines are studied in detail List of permit Nos. of previous permits (if applicable) applied for in terms of item 316.17: 2 2. IF THE APPLICANT IS NOT THE MANUFACTURER SUBMIT THE FOLLOWING DETAILS IN RESPECT OF THE MANUFACTURER. Manufacturer: ________________________ Customs code:___________________ Postal address: ____________________ ____________________ ____________________ ____________________ VAT registration no: _______________ Contact details of manufacturer: Physical address of manufacturing premises: Contact person: ___________________ ____________________ ____________________ Telephone no.: ___________________ ____________________ ____________________ Cell no.: ___________________ ____________________ ____________________ Fax no.: ___________________ Email address: ___________________ 3. Furnish the following information in respect of each of the products imported and in respect of which the rebate is applied for: (i) DESCRIPTION OF a) IMPORT PRODUCT/S AS b) IN THE CUSTOMS TARIFF (ii) TARIFF c) a) SUBHEADING/S OF EACH b) PRODUCT c) (iii) RATE OF CUSTOMS a) DUTY APPLICABLE TO b) EACH PRODUCT (iv) QUANTITY c) a) b) c) (v) CUSTOMS a) (FOB) VALUE IN b) RAND c) (vi) COUNTRY/IES IMPORTING FROM a) b) 3 c) STATE WHETHER THE a) MANUFACTURING b) PROCESS INCLUDES THE c) POPULATION OF BLANK CIRCUIT BOARDS 4. Furnish the following information in respect of the final product: a) (i) DESCRIPTION AS IN b) CUSTOMS TARIFF c) a) (ii) TARIFF SUBHEADING/S b) c) a) (iii) QUANTITY) b) c) (iv) CUSTOMS a) (FOB) VALUE IN RAND b) c) (v) COUNTRY/IES OF EXPORT a) b) c) If the importer is not the manufacturer submit the following information in respect of the products which the importer has supplied or will be supplied to the manufacturer: (i) DESCRIPTION AS IN a) CUSTOMS TARIFF b) c) (ii) TARIFF SUBHEADING a) b) c) (iii) QUANTITY a) b) c) (iv) VALUE RAND a) b) 4 c) (v) PERIOD DURING WHICH a) THE PRODUCTS WILL BE b) SUPPLIED TO c) MANUFACTURER 8. Indicate with a cross whether the outcome of the application should be forwarded by mail to the applicant or whether it will be collected at the offices of the International Trade Administration Commission at the DTI Campus, Block E, C/o Meintjies street and Esselen street, Sunnyside, Pretoria. BY MAIL BY HAND 9. Indicate at which Customs Office the rebate permit will be used if the application is successful:……………………………………………………… SWORN AFFIDAVIT Submit the following declaration by the CEO or duly authorized representative of the company: I, _________________________ (full names) with identity number _____________________, in my capacity as ____________________________ of __________________________ (hereinafter referred to as the applicant) hereby declare under oath that the information furnished in this 316.17 application form is to the best of my knowledge true and correct. NAME: ____________________ DESIGNATION: _______________________ SIGNATURE: ______________________ DATE: ________________________ I CERTIFY THAT THE DEPONENT HAS ACKNOWLEDGED THAT HE/SHE KNOWS AND UNDERSTANDS THE CONTENTS OF THIS STATEMENT, AND THAT HE/SHE HAS NO OBJECTION TO TAKING THE PRESCRIBED OATH, AND THAT HE/SHE CONSIDERS THIS OATH TO BE BINDING ON HIS CONSCIENCE. THE 5 STATEMENT WAS SWORN TO/ AFFIRMED TO BEFORE ME AND THAT THE DEPONENTS SIGNATURE WAS PLACED THEREON BEFORE ME. SIGNED and SWORN to before me at __________________ this ____ Day of _________ Year. ________________________ COMMISSIONER OF OATH ________________________ Full names and surname CHECK LIST 1. Please note: Before the 316.17 application form is submitted to ITAC, the applicant is required to complete the check list which is shown in Table 1 below: Table 1: Check list Documents and information to be submitted Mark with X Importer’s code VAT registration no. Copy of previous permit (if applicable) All information required in the questionnaire has been submitted. Signed sworn affidavit 2. The checklist will assist applicants to ensure that all the relevant information is submitted and that all the relevant documentation is attached. It is hereby agreed that the checklist is a true reflection of all the documents that were attached and the information submitted: Signature: ______________________ Designation: ______________________ Date: ______________________ 6 ITAC GUIDELINES FOR ISSUING A REBATE PERMIT TO ASSEMBLERS OF TELEVISION SETS UNDER REBATE 316.17 A rebate permit will only be considered if all of the following information has been submitted and verified by ITAC upon inspection at the premises. (a) Amount of capital invested in the operation; (b) Employment figures; (c) A full list of the equipment contained in the installation; (d) The assembly lines and the amount of staff per line; (e) A breakdown of the assembly instruction guide to determine how many stages are needed for the assembly of flat panel televisions; (f) The cost of flat panel television sets through the submission of commercial invoices accompanied by cost and price structures; (h) All Television sets made in South Africa must have a letter of authority (LOA) from the SABS; and (i) Submission of the completed attached production stages questionnaire. 7 STAGES OF PRODUCTION FOR SKD AND CKD (These stages are only a guide) SKD / CKD Permit Criteria # Item Compliance YES/NO To meet the SKD permit criteria, the following production facilities (1 - 27) must be present and operational in the SKD factory SKD CRITERIA 1 2 3 4 5 6 7 8 9 10 The following production facilities must be present: High voltage test Final Testing of all functions Final testing of all signal interfaces White balance alignment facility Soak testing (Burn in ) facility Switch-on test position Main assembly stages Sub-assembly stages Programming equipment for a minimum of HDCP licence Fault finder(s), suitably qualified and trained with minimum of oscilloscope and signal sources) 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 The following test equipment must be present: Professional High voltage testing equipment (to IEC 60065) Facility for soaking LCD television set Signal sources as listed below: HF analogue signals Composite video baseband signals S-Video signals Audio signals (baseband) Component video signals (YPbPr) VGA signals with appropriate resolutions for products under test HDMI signals with 720 and 1080 line resolutions HDMI Signals that are HDCP protected Multichioce HD decoder signal Blue ray source HF Signal strength meters Oscilloscopes 26 The following production support facilities must be available: Quality assurance facility and person/personnel 27 Technical support technician 8 CKD CRITERIA To meet the CKD permit criteria, the manufacturer must demonstrate that he can assemble a significant number of electrical components onto blank PCB's. Therefore, in addition to the above, it is required that the following production facilities (28 - 38) must be operational and locally available to the CKD factory. 28 29 30 31 32 33 34 35 36 37 38 The following equipment must be available Solder paste screening machine SMD placement equipment SMD reflow oven Hand and/or automatic insertion facilities Wave soldering machine Facilities for inspection and touch-up of soldered PCB's Equipment for programming assembled PCB's Equipment for testing and aligning assembled PCB's Unpack quality assurance on sampling basis The following support facilities must be available: Technical support engineer Facility or system, either internal or external, to ensure basic electrical measuring equipment is correctly calibrated) Signal levels Multimeters Oscilloscopes 9
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