APPENDIX 20A
- Document type
- Procedure
- Reference no.
- A
- Dated
FORM OF APPLICATION OF IDENTITY CARD
FORM OF APPLICATION OF IDENTITY CARD
|
Photograph duly attested by Proprietor/ Partner/ Director/Power of Attorney Holder |
|
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 |
: |
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/Power of Attorney Holder
|
Place Date |
Name Designation Official Address Tele.No Residential Address: E.Mail Address |
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.