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Photograp H Duly Attested by Proprietor/ Partner/ Director

This document contains an application form for an identity card, requesting information such as the name, designation, addresses of the applicant and person to receive the card, company registration numbers, and payment details. It includes a declaration by the proprietor/partner/director that the person listed is an authorized employee. Required documents for submission include proof of fee payment and photos of the person to receive the card.

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daljitkaur
Copyright
© Attribution Non-Commercial (BY-NC)
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16 views

Photograp H Duly Attested by Proprietor/ Partner/ Director

This document contains an application form for an identity card, requesting information such as the name, designation, addresses of the applicant and person to receive the card, company registration numbers, and payment details. It includes a declaration by the proprietor/partner/director that the person listed is an authorized employee. Required documents for submission include proof of fee payment and photos of the person to receive the card.

Uploaded by

daljitkaur
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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APPENDIX 4

----------FORM OF APPLICATION OF IDENTITY CARD


--------------------------------------------------------------------Note: Please see paragraph 4.21 of this Handbook
--------------------------------------------------------------------FOR OFFICIAL USE
Photograp
File No.:.................... Date:..........
..............................................

1)

h duly
attested by
Proprietor/
Partner/
Director

Name of the person


(in whose favour Identity
Card to be issued)

:.............................

2)

Designation of the person

:.............................

3)

Residential address

:.............................
..............................

4)

Name and address of the


applicant firm

5)

IEC Number

:.............................

5A)

PAN Number

: ............................

6)

Details of Fee

:Amount Rs. .................


Bank receipt/ ..............
DD No.& date

:............................
.............................

Issued by ..................
DECLARATION
----------i)

I am the Proprietor /Partner/Director of the firm.

ii)

I hereby declare that Shri.................... in whose favour


identity card is to be issued is the authorised employee
of
the firm.

iii) I 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 Applicant:..............

Place :
Date :

Name: .................
Designation: .................
Official Address: .................
.................
Tele.No.:
Residential Address: .................
.................
E.Mail Address
: .. .. .. .. .. ..

App.16

-----------------------------------------------------------------------------Documents to be enclosed with the application form:


-----------------------------------------------------------------------------1. Bank Receipt (in duplicate) /Demand Draft
application fee in terms of Appendix-34.

evidencing

payment

of

2. Two passport size photographs of the person in whose favour identity


card is to be issued.
3. Copy of RCMC duly attested by Partner/Proprietor/Director.

App.17

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