APPENDIX 20A
FORM OF APPLICATION OF IDENTITY CARD
Photograph duly attested by Proprietor/ Partner/ Director/Power of Attorney Holder
|
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.
Signature of the proprietor/ partner/
director/Power of Attorney Holder
Place
Date |
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.
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