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DGFT Hand Book of Procedures Forms & Appendix (01/04/2003 to 31/08/2004) APPENDIX - 2

APPENDIX - 2
PROFILE OF EXPORTER/ IMPORTER

FOR OFFICIAL USE

File No:---------------------------------

Date:-------------------

Note:: To be submitted once alongwith the first application and to be submitted subsequently only in case of any change in the information already submitted. RLAs to enter this information in the computer so as to dispense with the need of repetitive declaration.

1.	Name of the applicant	:...................................
2.	Address of the applicant (Registered Office in case of limited companies, and Head Office for others for others)	:................................... :................................... :................................... :................................... Tele No.:........................... Fax No :........................... E.Mail address: ....................
3.	IEC No. .........Date of Issue ........ Issuing Authority ............
4.	Nature of the concern. (please tick the appropriate column): Proprietorship [ ], Partnership [ ] Private Limited company [ ] Public limited company [ ], HUF [ ], Trust [ ], Others [ ]
5.	Details of Proprietor/Partner(s)/Director(s)/Karta/Trustees to be given in the following manner:
	(a) Name	......................................
	(b) Father"s Name	......................................
	(c) Residential address	......................................
	(d) E. Mail address	......................................
	(e) Telephone	......................................
	(NOTE: Attach extra sheet wherever required)
6.	Please tick the appropriate column.
	(1) Manufacturer Exporter	[ ]
	(2) Merchant Exporter	[ ]
	(3) Service provider	[ ]
	(4) Merchant cum Manufacturer	[ ]
	(5) Trust	[ ]
	(6) Others (please specify) .......................................
7.	Status Code (Pl.tick the appropriate column) Export House [ ] Trading House [ ], Star Trading House [ ], Super Star Trading House [ ], None [ ]
7.	Relevant Certificate	No. .................................. Issuing Date: ........................ Valid upto: ..........................
8.	RCMC No. ....................	Date of Issue ...................
8.	Valid upto ...................	Issuing Authority ...............

Place: .......	Signature of the Proprietor/Partner(s)/
	Director(s)/Karta/Trustee	...................................................
Date:.........	Name	...................................................
	Designation	...................................................

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