APPENDIX 20 A
FORM OF APPLICATION OF IDENTITY
CARD
1)
Name of the person
:.............................
(in whose favour Identity
Card is to be issued)
2)
Designation of the person
:.............................
3)
IEC Number
:.............................
4)
Details of Fee
:
Bank receipt/ ..............
DD No.& date
Amount Rs. ...
Name of the Bank
Branch of issue
DECLARATION
i) I
am the Proprietor/Partner/Director of the firm/company.
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 proprietor/ partner/
director
Name
Designation
Official
Address
Tele.No
Residential
Address:
E.Mail Address
Place
Date
Documents to be enclosed with the
application form
1.
Bank Receipt
(in duplicate)/Demand Draft evidencing payment of application fee in terms of
Appendix-29.
2.
Two passport
size photographs of the person in whose favour identity card is to be issued.