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PROFILE OF EXPORTER AND IMPORTER

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..... te of Issue and Issuing Authority: 2. Applicant firm s details: i. Name of the entity: ii. Address (Registered Office in case of Companies and Head Office in case of Others): iii. Landline no. if any: iv. Firm Mobile No. (For correspondence with DGFT): v. e-mail id/ website address: vi. Nature of the Concern: Proprietorship/Partnership /Limited Liability Partnership/Private limited/ Public Limited/Govt. undertaking/Section 25 Company/Registered Society/Trust/HUF vii. Preferred Activities: Merchant Exporter/Manufacturer Exporter/Service Provider/ Others .....

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..... ii. Date of Issue and validity: iii. Products for which registered: 7. Status House Details (Please tick) - One Star/Two Star/Three Star/Four Star/Five Star: i. Certificate number/ Issuing Authority: Ii Date of issue and validity 8.Central Excise Registration No./ Issuing Authority: 9. VAT Registration No./ Issuing Authority: 10. Turnover Details for the preceding three financial years: Financial Year Annual Domestic Turnover (Rs. Lakhs) Annual Export Turnover (Rs. Lakhs) DECLARATION: 1. .....

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..... at 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 therefrom. 5. I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.06 of the Foreign Trade Policy. Place Signature Date Name Designation Official address Tele No Residential .....

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