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ON-LINE REGISTRATION-CUM-MEMBERSHIP CERTIFICATE 
 
 
Name Of The Company
Address of the applicant / Company
Telephone
Fax 
Mobile
Email (Mandatory) *  
WebSite
Address of the Head Office 
Address of the Registered Office (If different from Head Office)
Address for Correspondence
Addresses of Branches (If Any)
Address of the Factory (If Any) 
IEC  No.    
Date of Issue
Issuing Authority     
Year of establishment  
PAN Number     
Description of export products for which registration is sought.     
Export of above products during preceding financial year.    
Whether registration is required as Merchant exporter or Manufacturer exporter ?
If Manufacturer then status of the unit  
Total investment made in the Co.     
Investment in Plant & Machinery     
Exporter Status   
Names of the Proprietor / Partner / Directors / Karta / Managing Director  

Declaration :
I / We hereby declare that the above information is correct to the best of my / our knowledge and belief. I / We also undertake to abide by the conditions subject to which registration / membership is granted.
Applicants Name     
Applicants Designation     
Applicants Father's Name    
Residential Address of the applicant
Telephone
Fax 
Email  
Place
Date 
     
Note : - The Demand Draft Should Be Drawn In Favour Of " Electronics And Computer Software Export Promotion Council " Payable At New Delhi
     
 
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