Customs Brokers Licensing Regulation 2018

FORM - H
[see sub-regulation (9) of regulation 13]

Valid upto………..

IDENTITY-CUM-AUTHORITY CARD

Shri/Ms. …………………. of …………………. having been registered in the books of this office as employee of Shri/Sarvashri/Ms./M/s. …………………. (Customs Broker License No.………………….) for assisting the Customs Broker or his authorized employee(s). This identity card is valid for a period of five years from the date of issuance or until the cancellation of the license issued to his principal, whichever is earlier. Specimen Signature of employee: ………………….. Name of the Customs Broker: …………………..

Customs Station: …………………..
Dated the ………………….. 20....

Signature of the Deputy Commissioner/
Assistant Commissioner of Customs
(With seal)

(Photo to be supplied by the Customs Broker)