APPENDIX - 3
APPLICATION FORM FOR ALLOTMENT OF IMPORTER-EXPORTER CODE (IEC) NUMBER AND MODIFICATION IN PARTICULARS OF AN EXISTING IEC NO. HOLDER
- Note:
- 1. Please see paragraph 2.12 of the Policy and Paragraph 2.9 of this Handbook.
2. Please read the general instructions given at Appendix 1 before filling this application.
(FOR OFFICE USE ONLY)
File Number: _____________________ Date:__________ IEC No. allotted:_________
| 1. | Application for (please tick) |
|
| (A) Allotment of IEC No. c | (B) Modification in particulars c
of existing IEC No. holder
|
| 2. | Name and address of the applicant.
(Registered Office in case
of limited companies, and
Head Office for others ) | : ..............................................
................................................
................................................
................................................
PIN [ ][ ][ ][ ][ ][ ]
|
| 3. | Address of all the Branches/ Divisions/ Units/ factories located in India and abroad. | 1. ................. 3. ..................
PIN [ ][ ][ ][ ][ ][ ] PIN [ ][ ][ ][ ][ ][ ]
2. ................. 4. ..................
PIN [ ][ ][ ][ ][ ][ ] PIN [ ][ ][ ][ ][ ][ ]
|
| 4. | E-Mail of the applicant(for communication with DGFT):
| : ........................................
|
| 5. | PAN details: |
|
a).Permanent Account Number
(PAN):
| [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
|
| b). Issuing authority |
|
| 6. | A) Date of birth of individual
(in case of proprietorships)
B) Date of incorporation
(in case of companies)
C) Date of formation
(In case of others)
|
| 7. | In case the application is for modification in existing IEC, give:
|
| a) Existing IEC No. | : .................................
|
| b) Nature of modification required and details thereof | : ...................................
...................................
|
| 8. | Particulars of Fees Paid:
|
| (i) Bank Receipt/Demand Draft No. | : ............................
|
| (ii) Name of Bank & Branch of issue | : ............................
............................
..............................
|
| (iii) Amount(in Rs.) | : ............................
|
| 9. | 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)
|
| 10. | In case of proprietorship, kindly indicate the total number and details of IEC(s) held by the proprietor. | : ............................
............................
............................ |
DECLARATION/UNDERTAKING
1. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held therefrom.
2. I/We full understand that any information furnished in the application if proved incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted.
3. I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed thereunder, the Export and Import Policy, Handbook of Procedures and any other documents issued under the Exim Policy.
4. I/We hereby declare that this application is made by me/us in the name of Registered/Head office and I/we have not obtained or applied for Importer Exporter Code Number previously in this name from any office of the DGFT/Development Commissioner (Not applicable for existing IEC number holder).
5. I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.
6. I/we hereby certify that none of the Proprietor/ Partner(s)/ Director(s)/Karta/Trustees of the firm or company is a Proprietor/Partner(s)/Director(s)/Karta/Trustees of the firm/Company, which has come to the adverse notice of DGFT.
7. (
Strike out whichever is not applicable)
a) The Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the firm/company is/are not associated as Proprietor/ Partner(s)/Director(s)/Karta/Trustee in any other firm/company, which is in the caution list of RBI.
b) The Proprietor/Partner(s)/Director(s)/Karta/Trustee as the case may be of the firm/company is/are associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee in any other firm/company, which is in the caution list of RBI.
8. (
Strike out whichever is not applicable)
a) There is no non-resident interest in the firm/company and no non-resident investment with or without repatriation benefits has been made in the company.
b) There is non-resident interest in the firm/company and no non resident investment without repatriation benefits in the firm/ company is held with the general/specific permission of RBI. (In case of specific RBI approval, a self certified copy may also be furnished).
c) There is non-resident interest in the firm/company and non resident investment with repatriation benefits in the firm/company is held with the specific permission of RBI. (In case of specific RBI approval, a self certified copy may also be furnished).
(Bold word at S. No. 7 & 8 has been corrected vide
PN. No. 8/2003, Dt. 14/05/2003)
| Photo of the applicant attested by | | Name: ........................
Designation: ........................
Official Address: ........................
Tele.No.: ........................
Residential Address: ........................
E. Mail address : ........................
|
|---|
Place:
Date :
Documents to be enclosed with the application form:
1. Bank Receipt (in duplicate)/Demand Draft evidencing payment of application fee in terms of Appendix-29.
2. Certificate from the Banker of the applicant firm (as per Annexure-1 to this form)
3. One copy of passport size photograph of the applicant duly attested by the bankerof the applicant.
(S. No. 3 has been amended vide PN. No. 8/2003, Dt. 14/05/2003)
[OLD-
3. Two Copies of Pass Port size photographs of the applicant duly attested by the banker of the applicant. ]
4. A copy of Permanent Account Number issued by Income Tax Authorities, duly attested by the applicant.
- Note:
- Where the applicant declares that they are associated with firms/companies caution listed by RBI they will be allotted IE Code Number but with an additional condition that they can export only with RBI"s prior approval and they should approach RBI for the purpose.
ANNEXURE.1 TO APPENDIX.3
BANK"S CERTIFICATE
(To be issued on the official letter head of the Bank)
Ref No. ...........................
To
..........................................
..........................................
..........................................
...........................................
(Name and address of the licensing authority)
Sir/ Madam,
We certify that M/s.............................................................................................................
(Name and Address of the applicant) are maintaining a Savings Bank Account / Current Account (tick whichever is applicable) No. ............... with us since ........ ..........................
(Signature of the Banker)
Name ........................
Designation .................
Date: ...................
Place: ...................
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