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