Customs Brokers Licensing Regulation 2018

FORM - C
[see sub-regulation (3) of regulation 7]

Intimation by Customs Broker to work at another Customs Station

1. Name of the Customs Broker :-
2. Aadhaar Number:-
3. Permanent Account Number (PAN)
4. Full address of the Customs Broker :
5. Customs Broker License No. and Custom House of issue :-
6. Name, Permanent Account Numbers (PAN) and address of each of the partners of the firm or the directors of the company, as the case may be, in case the applicant is a firm or a company :-
7. Name(s) of its partner/partners or director/directors and Permanent Account Numbers (PAN) who will actually be engaged in the work as Customs Brokers, in case the applicant is a firm or a company :-
8. Educational qualifications of each of the persons, who will actually be engaged in the work as Customs Broker:-

I/We hereby affirm that I/we have read the Customs Brokers Licensing Regulations, 2018 and agree to abide by them.

Signature of the applicant(s)
…………………………………..
…………………………………..

Date: …………………………