APPENDIX - 4A
- Document type
- Procedure
- Dated
FORMAT OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
FORMAT OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
- Note:
- Please see Paragraph 2.44 of the Policy and Paragraph 3.12.2 of this Handbook
(To be filled in by the applicant)
| 1 | Name and address of the applicant | : | ___________________________ _________________________ __________________________ | |
| 2 | IEC 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) | Registered as 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
(Expression paragraph 2.55.2 appearing in the note to Appendix 4A corrected as paragraph 3.12.2 vide PN. No. 12(RE-02), Dt. 2/5/2002)