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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.





Signature of the proprietor/ partner/ director


Name
Designation
Official Address

Tele.No
Residential Address:
E.Mail Address











Place

Date

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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