APPENDIX - 4
FORM OF APPLICATION FOR REGISTRATION CUM MEMBERSHIP WITH EXPORT PROMOTION COUNCILS
NOTE: Please see paragraph 2.44 of the Policy and paragraph 3.12.2 of this Handbook
FOR OFFICIAL USE
File No:---------------------------------------------- Date:--------------------------------
To,
The
_______________________________
_______________________________
_______________________________
(Name and Address of the Council)
Dear Sir,
Kindly register us as Merchant/Manufacturer exporter of the export product(s) mentioned below.
| 1. | Name of the applicant | : _________________________
|
| 2. | (i) Address of the applicant. (Registered Office in case of limited companies, and the head office for others) | : __________________________
___________________________
___________________________
|
| (ii) Name address of the branches, if any | : __________________________
___________________________
___________________________
___________________________
|
| (iii) Name and address of the factory. | : __________________________
___________________________
___________________________
|
| 3. | (i) IEC number
Date of issue
Issuing authority | :___________________________
:___________________________
: ___________________________ |
| (ii) Date of establishment | : __________________________
: __________________________
|
| 4 | If the registration is required as a manufacturer exporter SSI Registration Industrial Licence/IEM | : No. ________________________
Date _________________________
Issuing Authority: _______________
|
| Others (specify) | : __________________________
|
| 5. | EH/TH/STH/SSTH/SHE/ISEH/ISSEH/ISSEH certificate number
| : Valid upto ______________ |
| 6. | Details of Directors/Partners/Proprietor/Karta to be given in the following manner
|
| 1 | (a) Name | : | ____________________________ |
| (b) Father"s Name | : | ____________________________ |
| (c) Residential address | : | ____________________________
____________________________
____________________________
____________________________
|
| (d) Telephone No. | : | ____________________________
|
| 2 | (a) _____________________
(b) _____________________
(c) _____________________
(d) _____________________ | (3) | (a)________________________
(b) ________________________
(c) ________________________
(d) ________________________
|
| 4 | (a) _____________________
(b) _____________________
(c) _____________________
(d) _____________________ | (5) | (a) ________________________
(b) ________________________
(c) ________________________
(d) ________________________
|
| 7. | (a) | Name of export product(s) for which registration is required.
| : | ____________________________ |
| (b) | Main line of business of applicant | : | ____________________________
|
| (c) | Whether the product in (a) above falls within the product category allotted to the Council applied for in Appendix 27
| : | Yes [ ] No [ ] |
| 8. | I/We hereby solemnly declare that the above stated information is true and correct. I/We undertake, without any reservation, to:
(a) abide by the terms of the registration certificate granted to us on all our exports;
(b) agree to abide by any code of conduct that may be prescribed;
(c) agree to abide by export floor price condition that may be stipulated by the Registering Authority;
(d) Furnish without fail monthly returns of exports including NIL returns to the Registering authority by 15th day of the months following the quarter.
|
| 9. | We further understand that our registration is liable to be canceled in the event of breach of any of the undertakings mentioned above.
|
| 10. | We/ I solemnly declare that we have applied to the Export Promotion Council which pertains to our main line of business. In case we have applied to any other council, the application has been made within the purview of the provisions of para 3.12 and 3.12.1 of the Handbook of Procedures (Vol 1).
|
Yours faithfully,
(Signature)
|
| | Name | ___________________________.
|
| Address | ___________________________.
|
| Designation | ___________________________.
|
| Tele No: | ___________________________.
|
| Fax No: | ___________________________.
|
| Residential address: | ___________________________.
___________________________.
|
Place _______________
Date _______________
Documents to be enclosed with the application form:
1. A self certified copy of the IEC Number issued by the licensing authority concerned.
2. A certificate from the bank in support of the applicant"s financial soundness.
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