ANF 2A

Application Form for Issue / Modification in Importer Exporter Code Number (IEC)

Part A
To be filled by t e Issuin! Aut ority IEC "etails i. IEC Number ii. Date of Issue iii. Issuing Authority

To be filled by t e applicants

Un-attested Photograph of the applicant. Identical photograph should be used on the Bank Certificate.

Note# $lease state %Not Applicable& ' ere(er t e information / data is not applicable to you) Fields mar*ed + are optional) All ot ers are mandatory ,) Applicant Firm "etails i. Name: ii. Address (Registered Office in case of Companies and Head Office in case of Others iii. Address of a!! "ranches # Di$isions # %nits # &actories !ocated in India ' abroad (attach e(tra sheet if re)uired i$. *e!ephone+ $. Emai! address (for correspondence ,ith D-&* + $i. Name and Designation of the person ,hose photograph has been affi(ed on the "an. Certificate. 2) "etails of $roprietor / $artners / "irectors / -arta / Trustee of t e applicant firm (attac extra s eet if re.uired) *ota! Number of /artners # Directors # 0arta # *rustee in the app!icant firm Follo'in! information may be pro(ided for eac $roprietor / $artners / "irectors / -arta / Trustee of t e applicant firm i. Name ii. &ather1s Name iii. Residentia! Address i$. *e!ephone

/) Nature of Concern (please tic*) (2 ) i. -o$ernment %nderta.ing ii. /ub!ic 3imited Company iii. /ri$ate 3imited Company i$. /roprietorship $. /artnership $i. Others 0) Type of Exporter (please tic*) (2) i. 4erchant E(porter ii. 4anufacturer E(porter iii. 5er$ice /ro$ider i$. Others (p!ease specify $. 4erchant cum 4anufacturer 1) 2an* Account "etails i. Name of the "an. ii. Address of the "an. iii. *ype of "an. Account i$. "an. Account Number $. 6ear of opening "an. Account 3) $AN "etails i. /AN Number ii. Issuing Authority 4) Application Fee "etails Amount (Rs 7Rupees Demand Draft Date of Issue Name of the "an. and its "ranch on ,hich dra,n

5ignature of the App!icant Name Designation Officia! Address *e!ephone Residentia! Address Emai! Address

/!ace Date