Appendix-3B

                                        APPENDIX - 3 B
                                      -----------------
                                         
                 FORM OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
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Note:  Please see Para 4.10 and Para 13.8 of the Policy and Para 13.3 of this Handbook
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                                      PART I
                        (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/Partners/
     Directors/Managing director       :_______________________________

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  _______________


                                  PART - II
                                      
               (TO BE FILLED IN BY THE REGISTERING AUTHORITY)

This  is to certify that M/s____________(Name and address of the firm) 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        _________________

                    *State clearly whichever is applicable

     Space for endorsement of any amendments in this certificate