APPENDIX 20A
FORM OF APPLICATION OF IDENTITY CARD
Photograph
duly
attested by
Proprietor/
Partner/
Director |
|---|
| 1) Name of the person (in whose favour Identity Card is to be issued) | :............................. |
| 2) Designation of the person | :............................. |
| 3) IEC Number | :............................. |
| 4) Details of Fee | : |
Bank receipt/ ..............
DD No.& date
Amount Rs. ...
Name of the Bank
Branch of issue
DECLARATION
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.
Place
Date | Signature of the proprietor/ partner/ director
Name
Designation
Official Address
Tele.No
Residential Address:
E.Mail Address |
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. Two passport size photographs of the person in whose favour identity card is to be issued.