KNOW YOUR CLIENT (Company)

Recent
PLEASE FILL UP IN ENGLISH AND IN BLOCK LETTERS Coloured
Photo of
Authorized
Signatory
A. IDENTITY DETAILS
1) Name of Company

2) Address (Principal Place of Business)

3) Address (Mailing Address)

4) IEC CODE

5) Telephone Number

6) Fax Number

7) E-Mail Address

8) Date of Incorporation/Registration (dd/mm/yyyy)

9) Pan No.
 B CONTACT DETAILS

1) Name of Contact Person( Person authorized to transact Customs Business)

2) Address of Contact Person

3) Telephone Number

4) Mobile Number

5) E-Mail Address

Enclo:

a) Certificate of Incorporation (self attested)

b) Memorandum of Association (self attested)
c) Articles of Association (self attested)
d) Power of Attorney of Contact Person
e) Copy of Pan Allotment Letter (self attested)
f) Copy of Telephone Bill of Company
g) Photo Identity Card of Director/s (self attested)
h) DIN No. of Directors
i) Photo Identity Card of Contact Person (self attested)

I confirm that the above information is true and agree to provide additional information/documentation that
may be required in terms of Public Notice No. 50 & 51/2009 dated 13/10/2009 issued by the Commissioner
of Customs (Port) Kolkata.

------------------------------------------ -----------------------------------------------

Signature of Director Signature of Contact Person

 Dated:

TO WHOM MAY CONCERN

We do hereby declare that M/s. A.K. SIRCAR & SONS, 6, Commercial Building
(Ground Floor), 23, Netaji Subhas Road, Kolkata- 700 001, Is our Authorised Custom
House Agents to handle our all Export & Import Consignments from Kolkata/Haldia Sea Port and other
relating authorities on behalf of us.

They are concerned for clearance of our consignments and not responsible for any
Discrepancies related to value, quantity and quality of the cargo.

This letter of authority is valid until and unless it is cancelled by us.