Application Form for Issue / Modification in Importer Exporter
Code Number (IEC) Part A To be filled by te Is s uin! Autority IEC "etails i. IEC Number ii. Date of Issue iii. Issuing Authority To be filled by te applicants Un-attested Photograph of the applicant. Identical photograph should be used on the Bank Certificate. Note# $lease state %Not Applicable& 'ere(er te information / data is not applicable to you) Fields mar*ed + are optional) All oters are mandatory ,) Applicant Firm "etails i. Name ii. Address (Registered Office in case of Companies and Head Office in case of Others) iii. Address of a !ranches " Di#isions " $nits " %actories ocated in India & abroad (attach e'tra sheet if re(uired) i#. )eephone* #. Emai address (for correspondence +ith D,%))* #i. Name and Designation of the person +hose photograph has been affi'ed on the !an- Certificate. 2) "etails of $roprietor / $artners / "irectors / -arta / Trustee of te applicant firm (attac extra seet if re.uired) )ota Number of .artners " Directors " /arta " )rustee in the appicant firm Follo'in! information may be pro(ided for eac $roprietor / $artners / "irectors / -arta / Trustee of te applicant firm i. Name ii. %ather0s Name iii. Residentia Address i#. )eephone /) Nature of Concern (please tic*) ( 1 ) i. ,o#ernment $nderta-ing ii. .ubic 2imited Company iii. .ri#ate 2imited Company i#. .roprietorship #. .artnership #i. Others 0) Type of Exporter (please tic*) ( 1 ) i. 3erchant E'porter ii. 3anufacturer E'porter iii. 4er#ice .ro#ider i#. Others (pease specify) #. 3erchant cum 3anufacturer 1) 2an* Account "etails i. Name of the !an- ii. Address of the !an- iii. )ype of !an- Account i#. !an- Account Number #. 5ear of opening !an- Account 3) $AN "etails i. .AN Number ii. Issuing Authority 4) Application Fee "etails Amount (Rs)6Rupees Demand Draft Date of Issue Name of the !an- and its !ranch on +hich dra+n 4ignature of the Appicant .ace Name Date Designation Officia Address )eephone Residentia Address Emai Address Part B A$$EN"I5 ,4 A F67MAT 6F 2AN- CE7TIFICATE F67 I889E 6F IEC ()o be issued on the officia etter head of the !an-) Ref No. ........................... )o .......................................... .......................................... .......................................... (Name and address of the icensing authority) 4ir" 3adam7 8e certify that 3"s...................................................................... (Name and Address of the appicant) are maintaining a 4a#ings !an- Account " Current Account (tic- +hiche#er is appicabe) No. ........................ +ith us since .................. ......................................... Affi' .assport 4i9e .hotograph of the appicant Note: )he !an-er must identify and attest the photograph. (4ignature of the !an-er) Name ............................... Designation ;;;;;; Date: ................... .ace: ................... (!an-s 4tamp) Part C %or 3odification of Import E'port Code Number IEC Number< ,: "etails of Modification 4N Detais of 3odification re(uired E'isting detais 3odification re(uired 3odification <= 3odification <> 3odification <? 2) "ocuments to be submitted in support of te claim a) In case of $roprietorsip firms; please furnis documentary e(idence re!ardin! i. Date of !irth of indi#idua ii. Number of IECs hed aong +ith their detais b) In case of Companies; please furnis documentary e(idence re!ardin! i. Date of incorporation c) In case of oters i. Date of formation 4ignature of the Appicant .ace Name Date Designation Officia Address )eephone Residentia Address Emai Address $A7T " "EC<A7ATI6N/9N"E7TA-IN= ,) I"8e hereby decare that the particuars and the statements made in this appication are true and correct to the best of my"our -no+edge and beief and nothing has been conceaed or hed there from. 2) I"8e fuy understand that any information furnished in the appication if found incorrect or fase +i render me"us iabe for any pena action or other conse(uences as may be prescribed in a+ or other+ise +arranted. /) I"8e underta-e to abide by the pro#isions of the %oreign )rade (De#eopment and Reguation) Act7 =@@>7 the Rues and Orders framed there under7 the %oreign )rade .oicy7 the Handboo- of .rocedures and the I)C(H4) Cassification of E'port & Import Items. 0) 0) a) I"8e hereby certify that the firm"company for +hom the appication has been made has not been penai9ed under the Customs Act7 E'cise Act7 %oreign )rade (De#eopment & Reguation) Act =@@> and %ERA"%E3A b) I"8e hereby certify that none of the .roprietor" .artner(s)" Director(s)"/arta")rustee of the firm"company7 as the case may be7 is"are a .roprietor".artner(s)"Director(s)"/arta")rustee in any other firm"Company +hich(i) has come to the ad#erse notice of D,%)7 (ii). is in the caution ist of R!I7 c) "8e hereby certify that neither the Registered Office"Head Office of the firm"company nor any of its !ranch Office(s)"$nit(s)"Di#ision(s) has been decared a defauter and has other+ise been made ineigibe for underta-ing import"e'port under any of the pro#isions of the .oicy. 1:N7I interest in te firm:-indly tic* one of te follo'in!# (i) )here is no non<resident interest in the firm"company and no non resident in#estment +ith or +ithout repatriation benefits has been made in the firm"companyA or (ii))here is non<resident interest in the firm"company and non resident in#estment +ithout repatriation benefits in the firm"company is hed +ith the genera"specific permission of R!IA or (iii))here is non<resident interest in the firm"company and non<resident in#estment +ith repatriation benefits in the firm"company is hed +ith the specific permission of R!I. In case of N7I interest/oldin! 'it repatriation benefits in te firm/company; please furnis i. R!I Appro#a Number ii. R!I Appro#a Date 3) I"8e hereby decare that I"8e ha#e not obtained nor appied for issuance of an Importer E'porter Code Number in the name of our Registered"Head Office or any of our !ranch(s)"$nit(s)"Di#ision(s) to any other 2icensing Authority. >) I hereby certify that I am authorised to #erify and sign this decaration as per .aragraph @.@ of the .oicy. 4ignature of the Appicant .ace Name Date Designation Officia Address )eephone Residentia Address Emai Address =9I"E<INE8 F67 A$$<ICANT8 A:Applyin! for ne' IEC numbe r < /indy fi .art A7 ! & D of this appication form ,) One copy of the appication must be submitted. 2) Each indi#idua page of the appication has to be signed by the appicant. /) Application must be accompanied by documents as per details given below: I) Demand Draft of Rs.>BC e#idencing payment of appication fee in fa#or of the concerned regiona office of D,%). 3oney can aso be paid through Eectronic %und )ransfer (E%)). II) Certificate from the !an-er of the appicant firm in the specified format III) 4ef certified copy of .ermanent Account Number (.AN) issued by Income )a' Authorities. I?) )+o copies of passport si9e photographs of the appicant ?) .hotograph on the ban-erDs certificate shoud be attested by the ban-er of the appicant. ?I) 4ef addressed en#eope and stamp of Rs.?C. ?II) )hese documents may be -ept secured in a fie co#er. )he abo#e documents may be sent by post or hand dei#ered at the concerned regiona D,%) office. 2:Applyin! for modification of existin! IEC number: /indy fi .art A7 C & D of this appication form ,) Ony one copy of the appication shoud be submitted. 2) Each indi#idua page of the appication has to be signed by the appicant. /) Appication must be accompanied by documents as per detais gi#en beo+: A<Documentary .roof : a. In case of .roprietorship firms7 pease furnish i. Date of !irth of indi#idua ii. Number of IECs hed aong +ith their detais b. In case of Companies7 pease furnish Date of incorporation c. In case of others Date of formation !<Demand Draft detais e#idencing payment of appication fee in terms of Appendi' >=!. (No fee is payabe for modification"amendment if such appication is made in EC days. Other+ise7 a fee of Rs.>CC may be paid in form of demand draft. No fee is re(uired for incusion of .AN no. in the od IEC. F. Origina copy of e'isting IEC.