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Procedure

APPENDIX 20A

Document type
Procedure
Dated

FORM OF APPLICATION OF IDENTITY CARD

APPENDIX 20A

FORM OF APPLICATION OF IDENTITY CARD

Photograph
duly
attested by
Proprietor/
Partner/
Director







1) Name of the person (in whose favour Identity Card is to be issued):.............................
2) Designation of the person:.............................
3) IEC Number:.............................
4) Details of Fee:


    Bank receipt/ ..............
    DD No.& date
    Amount Rs. ...
    Name of the Bank
    Branch of issue

DECLARATION


i) I am the Proprietor/Partner/Director of the firm/company.

ii) I hereby declare that Shri .................... in whose favour identity card is to be issued is the authorised employee of the firm.

iii) I further undertake that the document(s) /Licence(s) may be handed over to the Identity Card holder at the sole risk and responsibility of the firm.









Place
Date
Signature of the proprietor/ partner/ director

    Name
    Designation
    Official Address

    Tele.No
    Residential Address:
    E.Mail Address


Documents to be enclosed with the application form


1. Bank Receipt (in duplicate)/Demand Draft evidencing payment of application fee in terms of Appendix-29.

2. Two passport size photographs of the person in whose favour identity card is to be issued.

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