APPENDIX 19B
FORMAT OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE
PART I
(To be filled in by the applicant)
| 1 | Name of the exporter
| : | M/s ____________________________________________
____________________________________________
____________________________________________
|
| 2 | IEC Number
| : | ____________________________________________
____________________________________________
|
| 3. | Address of the Registered/Head Office
| | ____________________________________________
____________________________________________
____________________________________________
|
| 4 | Date of establishment
| : | ____________________________________________
____________________________________________
|
| 5. | Description of goods/ services for which registered
| : | ____________________________________________
____________________________________________
|
| 6. | Registration Number
| : |
|
| 7. | Registered as | : | a) Manufacturer exporter
b) Merchant exporter
c) Merchant cum manufacturer
exporter________________________
|
| 8. | Name of the Proprietor/ Partner(s)/ Director(s)/Karta
| : | ____________________________________________
____________________________________________
|
This certificate is issued as per the details of our records and is 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 |
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