IMPORTERS DATA

 

                       NAME OF IMPORTER :
                       IMPORTER'S ADDRESS :
                       CITY :
                       STATE :
                       PINCODE :
                       TELEPHONES
                              Office :
                              Residence :
                              Fax :
                              Mobile :
                              Pager :
                              Telex :
                       IMPORTER-EXPORTER CODE (IEC) NO :
                       INCOME TAX PAN NO. :
                       DETAILS OF BANK ACCOUNT, IF ANY
                        Name of the Bank :
                        Address :
                        Branch code :
                        Nature of account :
                        Account number :
              NAME AND SIGNATURE
              
             ( Authorised Signatory)

 

Notes

         1. Please enclose attested copies of IEC and PAN certificates

         2. All columns should be written legibly and in CAPITAL letters

         3. Please enclose a certificate from the bank cetifying the details at Sl. No. 9