Eximkey - India Export Import Policy 2004 2013 Exim Policy
APPENDIX 19B

FORMAT OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE

PART I


(To be filled in by the applicant)


1Name of the exporter

: M/s ____________________________________________
____________________________________________
____________________________________________

2IEC Number

:____________________________________________
____________________________________________

3.Address of the Registered/Head Office

 ____________________________________________
____________________________________________
____________________________________________

4Date of establishment

:____________________________________________
____________________________________________

5.Description of goods/ services for which registered

:____________________________________________
____________________________________________

6.Registration Number

: 
7.Registered as:a) Manufacturer exporter
b) Merchant exporter
c) Merchant cum manufacturer
exporter________________________


8.Name of the Proprietor/ Partner(s)/ Director(s)/Karta

:____________________________________________
____________________________________________



This certificate is issued as per the details of our records and is subject to the conditions laid down in the relevant scheme of registration of this council.



(Signature of the competent
officer of the E.P. Council)

Name _________________

Designation _________________

Seal ________________


Valid/renewed upto _______________ Date of issue _________________



Space for endorsement of any amendments in this certificate

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