| Applicant Details |
| i. Name of entity in whose name IEC is required |
| ii. Address: (Registered Office Address is required in case of Companies/ Head Office Address is required for all other categories) | Flat/Plot/Block No.: | |
| Street/ Area/ Locality: | |
| State: | District: |
| City: | PIN Code: | | | | | | |
| iii Landline telephone no., if any (with area code) | | | | | | | |
| iv Mobile No. | Primary Mobile No. | | | | | | | | |
| Other Mobile No, if any | | | | | |
| v Email ID /Website Address: | Primary Email ID (for correspondence with DGFT): | Alternate Email ID, if any: |
| | |
| Website (if any): | FAX No.(if any, with area code) |
| | | | | | | |
| vi Nature of concern / entity (Please tick relevant category): | - Proprietorship
- Partnership
- Limited Liability Partnership
- Private limited
- Public Limited
- Govt. undertaking
- Section 25 Company
- Registered Society
- Trust
- HUF
|
| vii:(a) Preferred Activities : (Please tick the relevant category) | Merchant Exporter |
| Manufacturer Exporter |
| Service Provider |
| vii.(b) Others (please specify): |
| viii Bank Account Details of the Applicant’s entity: |
| 1. Name of the account holder |
| 2. Account Number: |
| 3. Name of the Bank: |
| 4. Branch address of the Bank: |
| 5. IFS Code : |
| SUBMIT HERE TO PROCEED FURTHER |
| Enter Registration Code: (As received on mobile/ email provided as above) and continue: |
| Part B : Branch Details |
| i Enter number of Branches/ Divisions/Units/Factories located in India and abroad: |
| ii Address of Branches, Divisions, Units, Factories located in India and abroad | Flat/Plot/Block No.: | |
| Street/Area/Locality: | |
| State: | District: |
| City: | PIN Code: | | | | | | |
| |
| Part C : Please fill in the following details: |
| |
| Part C 1 In case the entity is a Proprietor firm : |
| 1.a) Name of Proprietor | | | | | | | | | | |
| b) Residential Address | Flat/Plot/Block No.: | |
| Street/Area/Locality: | |
| State: | District: |
| | City: | PIN Code: | | | | | | |
| c) Aadhaar Card Number, if available: | | | | | | | | |
| |
| Part C 2: In case the entity is Partnership firm |
| 1. PAN details of the entity | Name as in PAN | | | | | | | | | |
| Date of Incorporation (DD/MM/YYYY) | | | | | | | | | |
| PAN | | | | | | | | | | |
| 2. Enter the number of partners in the Partnership Firm : |
| 3. Fill in the following details for each partner: |
| a. Name as in PAN | | | | | | | | | | |
| b. Father’s name | | | | | | | | | | |
| c. Date of Birth (DD/MM/YYYY) | | | | | | | | | |
| d. Residential Address of the Partner: | Flat/Plot/Block No.: | |
| Street/Area/ Locality: | |
| State: | District: |
| | City: | PIN Code: | | | | | | |
| e. Mobile No. | | | | | | | | | | |
| f. PAN: | | | | | | | | | | |
| g. Aadhaar Card Number, if available | | | | | | | | | |
| |
| Part C 3: In case the entity is a Limited Liability Partnership/ Private/ Public/Govt. Undertaking / Section 25 Company: |
| 1. PAN details of the firm: | Name as in PAN | | | | | | | | | | |
| Date of Incorporation | | | | | | | | | | |
| | PAN: | | | | | | | | | | |
| 2. LLPIN /CIN (whichever is applicable) |
| 3. Registration Certification No. |
| 4. Enter the number of Partners/Directors in the Firm/Company : |
| 5. Fill in the following details for each Partner/Director: |
| a. Name | | | | | | | | | | | |
| b PAN | | | | | | | | | | |
| c. Director Identity Number | | | | | | | | |
| d. Aadhaar Card Number, if available | | | | | | | | | | | |
| |
Part C 4: In case the entity is a Registered Society/Trust**
**( Individuals /Charitable institutions/ Registered NGOs importing goods, which have been exempted from Customs duty under Notification issued by the Ministry of Finance for bonafide use by victims affected by natural calamity may refer to the para 2.8 of Handbook of Procedure (vol.1) and use Permanent IEC No 0100000126) |
| 1. PAN details of the Society/Trust: | Name as in PAN | | | | | | | | | | |
| Date of Incorporation | | | | | | | | | | |
| 2. Registration Number: |
| 3. Details of the Secretary/ Chief Executive of the Society; or Managing Trustee of the Trust |
| a. Name as in PAN | | | | | | | | | | | |
| b. Residential Address | Flat/Plot/Block No.: | |
| Street/Area/ Locality: | |
| State: | District |
| City | PIN | | | | | | |
| c. Aadhar Card No. if available | | | | | | | | | | | |
| |
| Part C 5: In case the entity is a HUF |
| 1. PAN details of the Entity: | Name as in PAN | | | | | | | | | | |
| Date of Incorporation | | | | | | | | | | |
| PAN | | | | | | | | | | |
| 2.Details of the Karta |
| a. Name as in PAN | | | | | | | | | | | |
| b. Residential Address | Flat/Plot/Block No.: | |
| Street/Area/ Locality: | |
| State: | District |
| City | PIN | | | | | | |
| 3. Aadhar Card Details, if available | | | | | | | | | | | |
| 1. | I/We hereby certify that :
- the entity for whom the application has been made have not been penalized under any of the following Acts (as amended from time to time):
- The Customs Act, 1962,
- The Central Excise Act 1944,
- Foreign Trade (Development & Regulation) Act 1992, and
- The Foreign Exchange Management Act,1999;
- The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974
none of the Directors / Partners / Proprietor / Karta / Trustees of the company /firm /HUF/Trust, (as the case may be), is/are a Director(s) / Partner(s) / Proprietor / Karta / Trustee in any other Company/ firm / entity which is on the Denied Entity List (DEL) of DGFT; neither the Registered Office of the company / Head Office of the firm / 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; we have not obtained nor applied for issuance of an Importer Exporter Code Number in the name of our Registered / Head Office to any other Licensing Authority |
| 2. | I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, as amended from time to time, the Rules and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC (HS) Classification of Export & Import Items. |
| 3. | I/We fully understand that if any information furnished in the application is found incorrect or false will render me/us liable for any penal action or other consequences as may be prescribed in law or otherwise warranted. |
| 4. | 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 withheld there from. |
| 5. | I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.09 of the Foreign Trade Policy. |