Import Export License Sample
Import Export License Sample
PAN : APSPP8617B
CIN : NA
GSTN : 21APSPP8617B1ZU
Email Id : [email protected]
Whether the firm is located in Export Oriented Unit (EOU) Scheme, Electronic Hardware Technology
Park (EHTP) Scheme, Software Technology Park (STP) Scheme or Bio-Technology Park (BTP)
scheme)? : NO
City : Sambalpur
District : SAMBALPUR
State : ODISHA
Pincode : 768017
Branch Details
Branch Code Is it SEZ? Is it EOU? Is Active Branch? GSTN Address Line 1 Address Line 1 City District State Pincode
Is it Na
Pass
Forei me Addre
DI port Date of Tit Na Father Address Pinc Mobile
gn As PAN ss City State District
N Numb Birth le me Name Line1 ode No.
Direc PA Line2
er
tor N
NEAR
BIJU
KALY
AN
Alok Alok ALOK
MAND
Kum Kum Pancha RESIDE
APSPP8 20/10/1 Mr AP, SAMBAL 7680 ODIS SAMBAL 9337367
N ar ar nan NCY,
617B 987 . BOAR PUR 17 HA PUR 642
Pur Pur Purohit Q.NO F-
D
ohit ohit 34/6
COLO
NY ,
BURL
A
Bank Information
Account Number Account Holder Name IFS Code Bank Name Branch Address Is Primary? PFMS Status
07100110039823 Alok Kumar Purohit UCBA0000710 UCO BANK Katapali Branch YES Not Initiated
Other Details
Othe
Import Goods Import Services Export Goods Export Services
rs
Declaration Details
I/We hereby certify that : A) 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):
i. The Customs Act, 1962,
ii. The Central Excise Act 1944,
iii. Foreign Trade (Development & Regulation) Act 1992, and
iv. The Foreign Exchange Management Act,1999;
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v. The Conservation of Foreign Exchange, Prevention of Smuggling Activities Act, 1974
B) 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; C) 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
2
our Registered / Head Office to any other Licensing Authority
I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act,
3 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.
I/We fully understand that if any information furnished in the application is found incorrect or false will
4 render me/us liable for any penal action or other consequences as may be prescribed in law or
otherwise warranted.
I/We hereby declare that the particulars and the statements made in this application are true and
5 correct to the best of my/our knowledge and belief and nothing has been concealed or withheld there
from.
I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.06 of the
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Foreign Trade Policy.