APPENDIX - 4
FORM OF APPLICATION FOR REGISTRATION CUM MEMBERSHIP WITH EXPORT PROMOTION COUNCILS
NOTE: Please see paragraph 2.44 of the Policy and paragraph 3.12.2 of Handbook (Vol.1)
FOR OFFICIAL USE
File No:---------------------------------------------- Date:--------------------------------
To,
The
_______________________________
_______________________________
_______________________________
(Name and Address of the Council)
Dear Sir,
Kindly register us as Merchant/Manufacturer/Merchant cum Manufacturer exporter of the export product(s) mentioned below.
| 1. | Name of the applicant | : _________________________
|
| 1A. | E-Mail address | : ------------------------------
|
| 2. | (i) Address of the applicant. (Registered Office in case of limited companies, and the head office for others) | : __________________________
___________________________
___________________________
|
| (ii) Name address of the branches, if any | : __________________________
___________________________
___________________________
___________________________
|
| (iii) Name and address of the factory. | : __________________________
___________________________
___________________________
|
| 4 | If the registration is required as a manufacturer exporter SSI Registration Industrial Licence/IEM | : No. ________________________
Date _________________________
Issuing Authority: _______________
|
| Others (specify) | : __________________________
|
| 5. | EH/TH/STH/SSTH certificate number. | : Valid upto ______________
|
| 7. | Name of export product(s) for which registration is required.
| : ____________________________ |
| 8. | I/We hereby solemnly declare that the above stated information is true and correct. I/We undertake, without any reservation, to:
(a) abide by the terms of the registration certificate granted to us on all our exports;
(b) agree to abide by any code of conduct that may be prescribed;
(c) agree to abide by export floor price condition that may be stipulated by the Registering Authority;
(d) Furnish without fail monthly returns of exports including NIL returns to the Registering authority by 15th day of the months following the quarter.
|
| 9. | We further understand that our registration is liable to be canceled in the event of breach of any of the undertakings mentioned above.
|
Yours faithfully,
(Signature)
|
| | Name | ___________________________.
|
| Address | ___________________________.
|
| Designation | ___________________________.
|
| Tele No: | ___________________________.
|
| Fax No: | ___________________________.
|
| Residential address: | ___________________________.
___________________________.
|
Place _______________
Date _______________
Documents to be enclosed with the application form:
1. A self certified copy of the IEC Number issued by the licensing authority concerned.
2. A certificate from the bank in support of the applicant"s financial soundness.
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