APPENDIX - 3B
- Document type
- Procedure
- Dated
FORM OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
APPENDIX - 3B
FORM OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
FORM OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
Note: Please see Paragraph 4.10 and 13.8 of the Policy and Paragraph 13.3 of this Handbook
(To be filled in by the applicant)
| 1. | Name and address of the applicant | :_______________________________ | |
| 2. | IEC Number | :_______________________________ | |
| 2(A) | PAN Number | : _____________________________ | |
| 3. | Address of the Head Office | :_______________________________ _______________________________ | |
| (i) | Registered Office | :______________________________ | |
| (ii) | Branch(s) | :_______________________________ | |
| (iii) | Factory(s) | :_______________________________ | |
| 4. | Year of establishment | :_______________________________ | |
| 5. | Description of export product(s) for which registration is sought | :_______________________________ | |
| 6. | Whether registration is required as merchant exporter or manufacturer exporter | :_______________________________ | |
| 7. | Name of the Proprietor/Partner(s)/Director(s)/Karta | :_______________________________ | |
| I/We hereby declare that the above information is correct to the best of my/our knowledge and belief. I/We also undertake to abide by the conditions subject to which registration/membership is granted. | |||
| (Signature) | |||
| Name in Block letters_________________________________________ Designation_________________________________________ Residential Address_________________________________________ _________________________________________ | |||
| Place _______________ Date _______________ | |||
(TO BE FILLED IN BY THE REGISTERING AUTHORITY)
- This is to certify that M/s____________(Name and address of the firm/Company) is registered with us.
Other details as per our records are as under:
| (i) Description of goods for which registered | _____________________ |
| (ii) Registration number | _____________________ |
| (iii) Manufacturer exporter or merchant exporter | _____________________ |
| (iv) Name(s) of proprietor/partner(s)/director(s)/Karta (s) | ________________________ |
| This certificate is issued subject to the conditions laid down in the relevant scheme of registration of this council. | |
| (Signature of the competent officer of the E.P. Council) | |
| Name | ______________ |
| Designation | ______________ |
| Seal | _____________ |
| Valid/renewed upto _________________________ Date of issue ___________________________ | ||
| Space for endorsement of any amendments in this certificate |