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iiiEM Registration Form

This document contains forms for an exporter to provide personal and company information as well as export-related details needed to register for export services. The forms request information such as name, address, contact details, bank account number, export license and registration numbers. The exporter must also submit documents like ID proof, registration certificates, and past shipping bills. Additional services like port registration and phyto-sanitation registration are offered.

Uploaded by

Brijesh Panchal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
97 views5 pages

iiiEM Registration Form

This document contains forms for an exporter to provide personal and company information as well as export-related details needed to register for export services. The forms request information such as name, address, contact details, bank account number, export license and registration numbers. The exporter must also submit documents like ID proof, registration certificates, and past shipping bills. Additional services like port registration and phyto-sanitation registration are offered.

Uploaded by

Brijesh Panchal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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LET’S EXPORT

PERSONAL BACKGROUND

Full Name __________________________________________________________________________


( Name as in Aadhar Card )

Residence Address_____________________________________________________________________

___________________________________________________________________________________

City _______________________, District ____________________State __________________

Mobile no.1 _________________________ Mobile no. 2 ___________________________

Email id _______________________________________________________________________

Company Website URL : ____________________________________________________

EXPORT_IMPORT RELATED INFORMATION:

PAN Card No. ____________________________

IEC License No. ___________________________________

GST No. _______________________________________________

BANK Details: Name of the Bank _____________________________, Branch ______________________;

City _____________________________STATE _ ___________________________

Current Bank A/c No. ________________________________

SWIFT CODE ____________________________IFS Code ___________________________

Your Invoice no. ________________ ( this is for filing the GST )

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LET’S EXPORT

KINDLY ANSWER THE FOLLOWING:

1. Are you a first time Exporter? YES NO

2. Details of your RCMC – APEDA

a. Mention the Registration No. _______________________________

b. Expiry Date of RCMC _______________________________

c. Apeda Log-in ID. _______________________________

d. Apeda Password _______________________________

3. Do you have a Port Registration for ICD Nasik? YES NO

If No, do you want iiiEM to do this registration on YES NO Behalf


of your Company ?

If Yes,
Attach Last Shipping Bill __________________________________________

4. Do you have Phyto-Sanitation Registration YES NO If Yes, Mention

Log-in id _________________________

Password _________________________

If NO,
Do you want iiiEM to do your PQIS registration on
Behalf of your Company? YES NO

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LET’S EXPORT

SUBMIT THE FOLLOWING DOCUMENTS – COMPULSORY

I shall submit the following Document within 3 days:


All below documents should be CLEAR to read and SELF ATTESTED

In the following Annexure I there is a check list of Documents to be submitted Submit


hard copies, self-attested along with this Registration Form

1. Mention “YES” if submitted or attached here


2. Mention a date on which you may submit the document – space is given against each
type of document needed for exports.

Note: I shall submit all required documents within next THREE working days
Thanking you,

Participant’s NAME _______________________________________

Participant’s Signature ______________________________________ Date _________________________

------------------------------------------------------ Exporting is Great-----------------------------------------------------------------------

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LET’S EXPORT

ANNEXURE - I

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LET’S EXPORT

All of the above Information & Documents are best to my knowledge, true and authentic.

EXPORTER’S NAME ______________________________________________

EXPORTING COMPANY______________________________________-

SIGNATURE _______________________________________

DATE _____________________

LOCATION___________________

I AGREE TOR ECEIVE ALL Communication on my Mobile no. _____________________through

WhatsApp or SMS and also through EMAIL ___________________________________________

SIGNATURE of the APPLICANT


_________________________________Received at iiiEM ___________________

Name of iiiEM Officer _____________________________________

Signature iiiEM Officer ______________________________________

Branch of iiiEM _________________________

Date ____________________________

Forwarded documents to _______________________________( Name of the iiiEM Officer )

Branch / Department ________________________________________________

Thank You

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