Application form for ISSUE/MODIFICATION of IMPORTER EXPORTER CODE NUMBER

ANF2A

                Application form for ISSUE/MODIFICATION of IMPORTER EXPORTER CODE NUMBER

(I E C)

                Part A

IEC DETAILS
i   IEC Number
ii  Date of Issue
iii Issuing Authority

                                (For office use)                       

                                To be filled by the

                                Issuing Authority

To be filled by the applicant

Note:  Please state NOT APPLICABLE

Wherever the information/data not applicable to you.

Fields marked * are optional. All others are mandatory.

1

i.  Name

ii. Address      (Registered office       for Companies       and Head Office       for Others)

Flat/Plot/Block No.

Street/Area/ Locality

City

State

PIN code

iii. For endorsing  Addresses of Branches, Factories etc. in India and abroad      use the above address  format

Please attach extra sheet

iv. Telephone/Fax No.

STD/Area Code

Telephone / Fax No.

Landline (1)   :

Landline(2)*  :

Fax No. *       :

v. e-mail ID & website     address

For correspondence with DGFT

Alternate e-mail ID *

Website address*

vi. Full Name,       Designation &       Mobile No. of       Signatory.

First Name

Middle Name

Last Name

Designation

Mobile No.

2.

Details of Proprietor/Partners/Directors/Karta/Trustee of the applicant firm (attach extra sheet if required)

Total Number of Partners/Directors/Karta/Trustee in the applicant firm

Following information may be provided for each Proprietor/Partners/Directors/Karta/Trustee of the applicant firm

i.   Name

ii.  Father’s Name

iii. Residential Address

Complete with Door &Ward No.PIN

iv. Telephone No.

STD/Area Code

Telephone No.

               

                (Refer DGFT Public Notice 84/2011)                                                                       Signature & Seal

3	Nature of Concern (Please Tick)							(√)
	i.   Government Undertaking
	ii.  Public Limited Company
	iii. Private Limited Company
	iv. Proprietorship
	v.  Partnership
	vi. Others               (Govt./Society/
4	Type of Exporter  (Please tick)							(√)
	i.   Merchant Exporter                               (General)(General)
	ii   Manufacturer Exporter                        (SSI Permanent Registration Certificate)
	iii  Service Provider                                  (Service Tax Registration)
	iv  Others (please specify)                        (Society/ Trust etc.)
	v.  Merchant cum Manufacturer               (SSI Permanent Registration Certificate)
5	Bank Account Details
	i.   Name of the Bank
	ii.  Address of  the Bank
	iii Type of Bank Account
	iv  Bank Account Number
6	PAN Details
	i.   PAN Number: (Alphanumeric)
	ii.  PAN Issuing Authority:
	iii. Name as appearing on the Pan Card:
	iv.  Date as mentioned        on PAN Card:		Date of Birth of Proprietor			Date of incorporation for all other categories
	v.   Father’s Name in case of  PAN allotted to Individuals:
7	Application Fee Details
	Amount (Rs.)			Rupees (Words):
	Demand Draft No.				Date of issue
	Name of  Bank & Branch on Which DD was drawn

Signature of the Applicant                                                                                                    Place:

Name                                                                                                                                   Date:

Designation

Official Address

Residential Address

Telephone No.

E-mail ID:

(Refer DGFT Public Notice 84/2011)                                                                         Signature & Seal

Part D

DECLARATION / UNDERTAKING

1)       I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of my/our knowledge and belief and nothing has been concealed or held there from.

2)       I/We fully understand that any information furnished in the application if found incorrect or false will render me/us liable for penal action or other consequences as may be prescribed in law or otherwise warranted.

3)       I/We undertake in law or otherwise to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC(HS) Classification of Export & Import Items.

4)       a.           I/We hereby certify that the firm/company for whom the application has been made has not been penalized under the Customs Act, Excise Act, Foreign Trade (Development & Regulation) Act 1992 and FERA/FEMA

b.           I/We hereby certify that one of the Proprietor/Partner(s)/ Director(s)/Karta/Trustee of the     firm/company, as the case may be, is/are a Proprietor/Partner(s)/Director(s)/Karta/Trustee in     any other firm/Company which(i) has come to the adverse notice of DGFT, (ii) is in the            caution list of RBI.

c.           We hereby certify that neither the Registered Office/Head Office of the firm/company nor any             of its Branch Office(s)/Unit(s)/Division(s) has been declared a defaulter and has otherwise     been made ineligible for undertaking import/export under any of the provisions of the policy

5	NRI interest in the firm. Kindly tick one of the following		√
	(i)   There is NO non-resident interest in the firm/company and no non resident        Investment with or without repatriation benefits has been made in the        firm/company; or
	(ii)  There is Non-Resident Interest in the firm/company and non resident investment        without repatriation benefits in the firm/company is held with the general/specific        permission of RBI; or
	(iii)  There is Non-Resident Interest in the firm/company and non-resident investment”          with repatriation benefits in the firm/company is held with the specific permission          of RBI.
	In case of NRI interest/holding with repatriation benefits in the firm/company, please furnish
	i. RBI Approval Number
	ii.RBI Approval Date

       

6.    I/We hereby declare that I/We have not obtained nor applied for issuance of an Importer Exporter
Code Number in the name of our Registered/Head Office or any of our Branch(s)/Unit(s)/Division(s) to any other Licensing Authority.

7.   I hereby certify that I am authorised to verify and sign this declaration as per Paragraph 9.9 of the Policy.

Signature of the Applicant                                                                             Place

Name                                                                                                             Date

Designation

Official Address

Residential Address

Telephone No.

e-mail ID

(Refer DGFT Public Notice 84/2011)                                                                         Signature & Seal