APPENDIX - 5
- Document type
- Procedure
- Dated
FORM OF APPLICATION OF IDENTITY CARD
FORM OF APPLICATION OF IDENTITY CARD
File No.:...................................... Date:........................... .................................................................................... |
|
| 1) | Name (person in whose favour Identity Card is to be issued) | |
| 2) | Designation | :............................. |
| 3) | Residential address | :............................. .............................. |
| 4) | Name and address of the applicant firm | :............................ ............................. |
| 5) | IEC Number | :............................. |
| 6) | Details of Fee | :Bank receipt/ DD No.& date Amount Rs. ................. Name of the Bank and 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
Name: .................
Designation: .................
Official Address: .................
.................
Tele.No.:..................
Residential Address: .................
..................
E.Mail Address : .. .. .. .. .. ..
Date :
2. Two passport size photographs of the person in whose favour identity card is to be issued.
3. Copy of RCMC duly attested by Proprietor/Partner/Director.