Application for Registration as an Exporter of Coir Fibre, Coir Yarn, Coir Rope or Coir Products
  * Mandatory Fields  
  ..Company Details:  
  * Name of Applicant (Company Name)   
  * Address of Applicant
  * District
  * State
  * Pin Code
  * Email
      Fax
  ...Contact Details:  
  * Contact Person Phone(Off)
     Contact Person Phone(Res)
     Contact Person Mobile
     Web Site (URL)
  ....Residential Address:  
   * Permanent Res. Address of the
    Proprietor / Managing Partner /
    Chief executive of the company
    as the case may be.
      Pin Code
  ...Other Details :  
  ....Whether the applicant is a new
....comer .or established before 1958
     Year of Establishment .(Date Format (dd/mm/yyyy) )   .
     Nature of Establishment ...
 If Others........
  ... Name of owner of factory
   * Name of Commodity Applicant
   .wishes to export
   * PAN No
   * Importer Exporter Code
  .. Type of Exporter
...If Applicant proposes to apply for
...registration as a manufacturer
...exporter Describe documentary evidence
     Manufacturing Capacity:  
     Factory Registration No.
     Date of Registration .(Date Format (dd/mm/yyyy) ) ...
     Qty. of Coir Yarn / Coir Products
   manufactured in preceding 12 months(MT)
     Value(Rs.)
      
     Purchase Turnover:  
     Purchase of Coir Yarn / Coir
   Products in preceding 12 months(MT)
     Value(Rs.)
      
     Export Order Details:  
     Name and address of buyer who
   has placed the export order
     Quantity(MT)
     Value(Rs)
     Type of Product
      
     Bank Details:  
     Name of Bank which give Certificate
     Address of the Bank
      
     Payment Details:  
     Demand Draft No
     Date .(Date Format (dd/mm/yyyy) )
... (
     Amount
     Bank Name
 

   Details of Membership with Trade 
   Association / Chamber of
...Commerce

 
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2)
3)
4)
      
  Details of Proprietor/ Partners/ Directors :
 
Sl.No. Name Address
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10.
     
   
 
* Enter Display Code
      
  Declaration
   
1.
I do hereby declare that what has been stated above is correct and complete, that I am aware of the conditions relating to the registration of exporter and that I agree to abide by them.
2.
I also declare that I have not previously applied for registration / I applied for registration on ................................................. but was refused registration.