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Registration-Cum-Membership Certificate Form

This document contains a form with two parts for registration and membership with an Export Promotion Council in India. Part I is an application form where the applicant provides information like name, address, IEC number, PAN number, address of head office and branches/factories, year of establishment, export products, and whether registration is sought as a merchant or manufacturer exporter. Part II is filled by the registering authority and certifies the registration, providing details of registered goods and registration number, whether merchant or manufacturer, names of proprietors/partners/directors, and noting the registration is subject to council conditions and valid until a specified date. Space is allocated for recording any amendments.

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0% found this document useful (0 votes)
65 views2 pages

Registration-Cum-Membership Certificate Form

This document contains a form with two parts for registration and membership with an Export Promotion Council in India. Part I is an application form where the applicant provides information like name, address, IEC number, PAN number, address of head office and branches/factories, year of establishment, export products, and whether registration is sought as a merchant or manufacturer exporter. Part II is filled by the registering authority and certifies the registration, providing details of registered goods and registration number, whether merchant or manufacturer, names of proprietors/partners/directors, and noting the registration is subject to council conditions and valid until a specified date. Space is allocated for recording any amendments.

Uploaded by

daljitkaur
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd

APPENDIX - 3 B

------------------------------FORM OF REGISTRATION-CUM-MEMBERSHIP CERTIFICATE


----------------------------------------------------------------------Note: Please see Paragraph 4.10 and 13.8 of the Policy and Paragraph
13.3 of this Handbook
----------------------------------------------------------------------PART I
(To be filled in by the applicant)
1.

Name and address of the applicant :_______________________________

2.

IEC Number

:_______________________________

2(A) PAN Number

: _____________________________

3.

:_______________________________

Address of the Head Office

_______________________________
(i) Registered
Office

:______________________________

(ii) Branch(s)

:_______________________________

(iii) Factory(s)

:_______________________________

4.

Year of establishment

:_______________________________

5.

Description of export product(s)


for which registration is sought

:_______________________________

6.

Whether registration is required


as merchant exporter or manufacturer
exporter
:_______________________________

7.

Name of the Proprietor/Partner(s)/


Director(s)/Karta
:_______________________________

I/We hereby declare that the above information is correct to the best of
my/our knowledge and belief. I/We also undertake to abide by the
conditions subject to which registration/membership is granted.
(Signature)
Name in Block letters _________________________
Designation

_________________________

Residential Address___________________________
___________________________

Place _______________
Date _______________

App.13

PART - II
(TO BE FILLED IN BY THE REGISTERING AUTHORITY)
This is to certify that M/s____________(Name and address of the firm/Company)
is registered with us.
Other details as per our records are as under:
(i)

Description of goods for which registered

_____________________

(ii)

Registration number

_____________________

(iii) Manufacturer exporter or merchant exporter


(iv)

Name(s) of proprietor/
partner(s)/director(s)/
Karta (s)

_____________________

________________________

This certificate is issued 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)

Valid/renewed upto

__________

Name

_________________

Designation

_________________

Seal

________________

Date of issue

Space for endorsement of any amendments in this certificate

_________________

App.14

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