Form Of Application For Renewal Of Registration Cum Membership Certificate (Rcmc) Page 2

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3. (i) IEC number
Date of issue (dd/mm/yyyy)
Issuing authority
(ii) Date of establishment (dd/mm/yyyy)
4.
If the registration is required as a manufacturer exporter SSI Registration Industrial
Licence/IEM
Number
Date of issue (dd/mm/yyyy)
Issuing authority
Others (specify)
5. Permanent Account Number (PAN)
6. EH/TH/STH/SSTH/SHE/ISEH/ISSEH/ISSEH
certificate number -Valid upto (dd/mm/yyyy)
7. Details of Directors/Partners/Proprietor/Karta to be given in the following manner
(1) (a) Name
(b) Father’s name
(c) Residential
address
(d)Phone
(with STD)
(2) (a) Name
(b) Father’s name
(c) Residential
address
(d)Phone
(with STD)
(3) (a) Name
(b) Father’s name
(c) Residential
address
(d)Phone
(with STD)
8.
(a) Name of export product(s) or its category for which registration is required
(b) Main line of business of applicant
2

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