APPENDIX 13
- Document type
- Procedure
- Dated
- Category
- Forms & Appendix (upto 31/03/2001)
FORM OF AFFIDAVIT FOR OBTAINING DUPLICATE COPY OF LICENCE WHICH ARE
I / We hereby solemnly affirm and declare that customs purpose copy / exchange purpose copy / both the copy of Licence No.__________dated__________ issued to me / us has been lost / misplaced, without having been registered with any Customs House / after having been registered with _______________ (Customs House) and not utilised at all / utilised partly. The total amount for which the Licence was issued is Rs.(figure and words ____________) and the total amount for which the duplicate is now required is to cover the balance of Rs.__________. Licence has not been cancelled, pledged, transferred or handed over by me / us or on my behalf to, any other party for any purpose / consideration whatsoever. I / We request to cancel the original Licence in lieu of which the duplicate copy has been applied for by me / us. I / We agree and undertake to return the original Licence, if traced later, to the issuing authority for record.
Documents to be enclosed with the application form:
1. Bank Receipt (in duplicate) / Demand Draft evidencing payment
of application fee in terms of Appendix-34.
2. Copy of First Information Report.