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Appendix - B - Form of Registration-Cum-Membership Certificate
Appendix - B - Form of Registration-Cum-Membership Certificate
2.
IEC Number
:_______________________________
: _____________________________
3.
:_______________________________
_______________________________
(i) Registered
Office
:______________________________
(ii) Branch(s)
:_______________________________
(iii) Factory(s)
:_______________________________
4.
Year of establishment
:_______________________________
5.
:_______________________________
6.
7.
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.
(Signature)
Name in Block letters _________________________
Designation
_________________________
Residential Address___________________________
___________________________
Place _______________
Date _______________
App.13
PART - II
(TO BE FILLED IN BY THE REGISTERING AUTHORITY)
This is to certify that M/s____________(Name and address of the firm/Company)
is registered with us.
Other details as per our records are as under:
(i)
_____________________
(ii)
Registration number
_____________________
Name(s) of proprietor/
partner(s)/director(s)/
Karta (s)
_____________________
________________________
Valid/renewed upto
__________
Name
_________________
Designation
_________________
Seal
________________
Date of issue
_________________
App.14