apeda registration form

Ref. No. APEDA/REGN DATED:

Subject: Registration Procedure with APEDA

Dear Sir,

Please refer to your letter/E-mail/personal visit dated………………………… regarding registration with APEDA.

Kindly arrange to submit the following documents:-

1. Application form duly filled and signed by authorized signatory.

2. Self certified copy of Import-Export code issued by D.G.F.T.

3. List of Directors/Partners/Proprietor on company’s letterhead in triplicate.

4. Pvt. Ltd./Public Ltd. Co.’s/societies should forward a copy of their Memorandum and Article of Association and Partnership firms should forward a copy of partnership deed attested by notary.

5. Self certified copy of PAN issued by Income Tax Department.

6. The company should compulsorily mention their e-mail ID, phone and fax number etc. in their application.

7. In case the exporter desires to register as Manufacturer Exporter, he should furnish the copy of company’s registration with FFO, Directorate of Industries, State Dept. of Horticulture/Agmark/EIA etc.

8. Cash or DD/Pay Order of Rs. 5000/- towards registration may be made in favor of APEDA payable to Specific APEDA office where the request has been made for Seeking RCMC.

Yours faithfully

Registration Officer

LIST OF REGIONAL OFFICES OF APEDA

NEW DELHI OFFICE

NCUI BUILDING

3, Siri Institutional Area, August Kranti Marg,

New Delhi – 110 016

Phone: 91-11-26513204, 26514572, 26534186, 26513219, 26534191

Fax: 91-11-26526187,

E-mail: headq@apeda.com

MUMBAI OFFICE

MR. R.K. MONDAL

Regional Incharge

Agricultural and Processed Food

Products Export Development Authority

4^th Floor, Unit No. 3 & 4, Banking Complex

Bldg. No. II, Sector 19/A, Vashi

New Bombay-400 705

Telephone: 27840949/27845442/27840350/27842094

Fax: 91-22-27842273

E-mail: apedamum@vsnl.net

KOLKATA OFFICE

Regional Incharge

Agricultural and Processed Food

Products Export Development Authority

Mayukh Bhavan, Bidhan Nagar, Salt Lake City

Kolkata-700 091

Telephone: 033-23378363

Fax: 033-23378680

E-mail: agri8680@dataone.in

apedacal@iascl01.vsnl.net.in

GUWAHATI OFFICE

MR. B. BARUA

Regional Incharge

Agricultural and Processed Food

Products Export Development Authority

g.s. road, Opp. Old Post Office, Jain Complex, 3^rd Floor

Guwahati – 781 005

Tel/Fax: 0361-2599010

Mobile: 98640-28908

Residence: 0391-2633390

E-mail: apedagwa@sancharnet.in

HYDERABAD OFFICE

MR. T. SUDHAKAR

Regional Incharge

Agricultural and Processed Food

Products Export Development Authority

8^th Floor, Chandra Vihar Building, M.J. Road,

Hyedrabad – 500 001

Telephone: 91-40-24745940

Fax: 91-40-24745947

E-mail: hyd_apedahyd@sancharnet.in

BANGLORE OFFICE

MR. R. RAVINDRA

Regional Incharge

Agricultural and Processed Food

Products Export Development Authority

12/1/1, Palace Cross Road,

Bangalore – 560 020

Telephone: 080-23343425/23368272

Fax: 080-23364560

E-mail: apedablr@vsnl.net

AGRICULTURAL AND PROCESSED FOOD PRODUCTS

EXPORT DEVELOPMENT AUTHORITY

(Ministry of Commerce & Industry, Govt. of India)

FORM-I

FORM OF APPLICATION FOR REGISTRATION CUM MEMBERSHIP

To,

3^rd Floor, NCUI Building

3, Siri Institutional Area,

August Kranti Marg,

(Opp. Asiad Village),

New Delhi – 110 016

Dear Sir,

Kindly register us Merchant/Manufacturer Exporter of the Export Product(s) mentioned in form II at serial No. 5.

1. Name of the Company : ____________________________________________________________________________

2. Address of the Company : ____________________________________________________________________________

(Registered office in case) : ____________________________________________________________________________

of Limited companies, and : ____________________________________________________________________________

the head office for others : ____________________________________________________________________________

3. Name & Address of the : ____________________________________________________________________________

Branch, if any : ____________________________________________________________________________

: ____________________________________________________________________________

4. Name & Address : ____________________________________________________________________________

of the Factory : ____________________________________________________________________________

5. IEC No. ____________________Date of issue______________________________Issuing Authority _________________

5A. PAN No. ____________________________________________________________________Date___________________

6. If the registration is required: No. ________________________________Date ___________________________________

As a manufacturer exporter

SSI Registration

Industrial License/IEM

100% EOU

Issuing Authority ________________________­­­­­­­­­­­­­­­­­­­­­­­­­­___________________________________________________________

Other (specify)

7. EH/TH/STH/SSTH/

Golden Certificate No. ­­­­­­­­­­­­­­­­­­­­­­­­______________________________________Valid up to ________________________________

8. (a) SEH/ISEH/ISSEH/SSEH

Certificate No. ­­­­­­­­­­­­­­­­­­­­­­­­______________________________________Valid up to ______________________________________

9. Details of Directors/Partners/Proprietor/Karta to be given in the following manner:

(1) (a) Name : ______________________________________________________________________

(b) Father’s Name : ______________________________________________________________________

(c) Resi. Address : ______________________________________________________________________

______________________________________________________________________

(d) Telephone : _____________________________________________________________________

(2) (a) Name : ______________________________________________________________________

(b) Father’s Name : ______________________________________________________________________

(c) Resi. Address : ______________________________________________________________________

______________________________________________________________________

(d) Telephone : _____________________________________________________________________

(3) (a) Name : ______________________________________________________________________

(b) Father’s Name : ______________________________________________________________________

(c) Resi. Address : ______________________________________________________________________

______________________________________________________________________

(d) Telephone : _____________________________________________________________________

(4) (a) Name : ______________________________________________________________________

(b) Father’s Name : ______________________________________________________________________

(c) Resi. Address : ______________________________________________________________________

______________________________________________________________________

(d) Telephone : _____________________________________________________________________

(5) (a) Name : ______________________________________________________________________

(b) Father’s Name : ______________________________________________________________________

(c) Resi. Address : ______________________________________________________________________

______________________________________________________________________

(d) Telephone : _____________________________________________________________________

10. Name of Export Product(s) for

which registration is required : _________________________________________________________________________

11. I/We hereby solemnly declare that the above stated information is true and correct, I/We undertake, without any

reservation, to :

(a) Abide by the terms of the registration certificate granted to us on all our exports;

(b) Agree to abide by any code of conduct that may be prescribed;

(c) Agree to abide by export floor price condition that may be stipulated by the Registering Authority;

(d) Furnish Online Export performance without fail quarterly i.e. April, July, October and January.

12. We further understand that our registration is liable to be cancelled in the event of breach of any of the undertaking mentioned above.

Yours faithfully

(Signature)

Name : ………………………………………………………………

Designation : ………………………………………………………………

Address : ………………………………………………………………

Tele No. : ….……………………………………………………………

……………………………………………………………….

……………………………………………………………….

Fax No. :… …………………………………………………………….

E-mail Address : ……………………………………………………………….

Resl. Address : ……….………………………………………………………

..……………………………………………………………..

E-mail Address : ………………………………………………………………..

Place :

Date:

AGRICULTURAL AND PROCESSED FOOD PRODUCTS

EXPORT DEVELOPMENT AUTHORITY

(Ministry of Commerce & Industry, Govt. of India)

FORM-II

(See Rule 10)

REGISTRATION-CUM-MEMBERSHIP CERTIFICATE

(To be filled in by the applicant)

1. Name of the applicant :

(Company’s name)

2. Address of the applicant :

(i) Postal Address :

(ii) Telegraphic Address :

(iii) Address of factory if any :

3. Indicate whether registration is

required in respect of :

(a) Head Office :

(b) Registered Office :

(c) Branch Office :

4. Description of the Products :

manufactured out of the following

5. Description of the product(s) for which Registration is required from out of the following:

(tick off whichever applicable)

01. Floriculture & Seeds 01 Floriculture o 02 Vegetables Seeds o 03 Herbal & Medicinal Plants o 02. Fruits & Vegetables 01 Fresh Onions o 02 Other Fresh Vegetables o 03 Dried Nuts (Walnuts) o 04 Fresh Mangoes o 05 Fresh Grapes o 06 Other Fresh Fruits o 03. Processed Fruits & Vegetables 01 Dried & Preserved Vegetables o 02 Mango Pulp o 03 Pickle & Chutney o 04 Other Processed Fruits & Vegetables o 04. Animal Products 01 Buffalo Meat o 02 Sheep/Goat Meat o

03 Poultry Products o 04 Dairy Products o 05 Animal Casings o 06 Processed Meat o 05. Other Processed Foods 01 HPS Groundnuts o 02 Guargum o 03 Jaggery & Confectionery o 04 Cocoa Products o 05 Cereal Preparations o 06 Alcoholic & Non-Alch. Beverages o 07 Miscellaneous Preparations o 06. Cereals 01 Non Basmati Rice o 02 Basmati Rice o 03 Wheat o 04 Other Coarse Grains o

6. Are you seeking registration as

(a) Manufacturer Exporter :

(b) Merchant Exporter :

7. Year, Month & Date of

establishment of the Applicant :

8. Name of Partners/Directors/

Managing Directors/Proprietor :

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 : …………………………………………….

Date …………………………………

Ref. No. APEDA/REGN/FORM DATED:

UNDERTAKING

I/We

M/s……………………………………………………………………………………………………………………

Address………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………..

having Import Export Code (IEC) No. …………………………………..……………………. hereby declare

That we are Merchant/Manufacturer Exporter and our Registered/Branch/Head Office is not registeired with any of the Regional Office at Mumbai/Bangalore/Kolkata/Hyderabad and Assam of APEDA.

Managing Director/Director/Partner/

Proprietor/Authorised Signatory

For

Date………………………….

Place…………………………
STRICTLY PRIVATE & CONFIDENTIAL

Bank ……………………………………

Branch…………………………………

Ref. No. ……………………………A/C No. ………………………Date……………………………………..….

1. Name of the Company…………………………………………………………………………………………….

2. Addres : ……………………………………………………………………………………………………………...

………………………………………………………………………………………………………………………..

3. Constitution [Please indicate (Ö)]

Individual o Joint Hindu Family o Others o

Proprietorship o Partnership o Private Ltd. Co. o

4. Name of Proprietor/Partners/Directors/Karta & Co. owners of Joint Hindul Family.

1. ………………………………………………. 3.. ……………………………………………… 5. …………………………………………………

2. ………………………………………………. 4. ……………………………………………… 6. ………………………………………………

…………………………………………………………………………………………………………………………………

5. Nature of accounts in [Please (V)]

Saving o Cash Credit o

Current o Others o

…………………………………………………………………………………………………………………………………

6. Banking Since Years……………………………….No. of years……………………………….

7. Business/Company Established/Incorporation on (Date to be indicated)

8. Nature of Business activity (Main activity of the Firm)

…………………………………………………………………………………………………………………………………

9. Other Allied Activities (if known to the Bank)

…………………………………………………………………………………………………………………………………

10. If Limited Company Authorised Capital Rs. ..……………………… Paid up Capital Rs. ……………………………

11. Means of Proprietor/ Partners/Directors

…………………………………………………………………………………………………………………………………

12. Name & Address of Associate concern of the firm (if known to the Bank)

…………………………………………………………………………………………………………………………………

13. Experience as to their dealings: Brief Write Up.

…………………………………………………………………………………………………………………………………

The Branch Manager with

Official Stamp