ANF- 2B

APPLICATION FORM FOR IDENTITY CARD

(The Importers / Exporters can avail the facility of collection of Authorization & documents from the counters of the concerned RA through an authorized person holding identity card issued by the RA or submit a self – addressed envelope affixed with postal stamp of Rs.40/- for delivery of aforesaid documents by post) .

1) Name of the person :.............................
(in whose favour Identity Card is to be issued)

2) Designation of the person :.............................

3) IEC Number of the firm: :.............................

4) Details of Fee :
    a) TR Challan No:
        Name of the Bank /Branch of issue
b) EFT (Electronic Fund Transfer) Transaction No
    c) Credit/Debit Card Payment Transaction No:

DECLARATION

i) I / We Shri ................................. , Proprietor/Partner/Director of the firm/company hereby declare that the person in whose favour identity card is to be issued is the authorised employee of the firm.

ii) I / We 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

Documents to be enclosed with the application form

1. Copy of TR Challan/ EFT/Credit/Debit Card payment receipt evidencing payment of fee
2. Two passport size photographs of the person in whose favour identity card is to be issued.