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2008 Dear Exporter, Sub: Registration with the Spices Board as Exporter of Spices The application form for registration with the Spices Board as an Exporter of spices is given below. The application should be submitted to the Spices Board, Sugandha Bhavan, Palarivattom P.O. , P.B. No. 2277, Kochi 682025 alongwith the following documents. The Certificate of Registration as Exporter of Spices [CRES] is issued for a block period of three years. The current block period [2008 2011] commenced from 1st September, 2008 and ending with 31st August, 2011 and thereafter it could be renewed. 1) Application in Form -1 2) Rs.2000/- [Rupees two thousand only] by Demand Draft drawn in favour of Spices Board payable at Ernakulam from any Nationalized/Scheduled Banks. 3) Bank Confidential Report in the prescribed format. 4) Copy of (Self attested) IE Code Number. 5) Copy of (Self attested) PAN card 6) Self attested copies of Partnership Deed/Memorandum and Articles of Association, Trust Deed etc. as the case may be. 7) Self attested copy of SSI Certificate in case if you are a manufacturer exporter. 8) The Board issues photo ID cards to the Registered Exporters. You may therefore send two passport size colour photos preferably with white background of the CEO or the designated officer of your firm . One photo may be affixed in the application form and the other one may be sent along with the application [do not staple on the photo] duly mentioning the name of the person and the company represented on the reverse of the photo. Yours faithfully, Sd/ASST. DIRECTOR[MKTG.]
FORM - 1
Rule 15
Affix Passport size Photograph of CEO or the Designated Officer of your firm
2.
Address of principal / registered office Building No. Building Name Street City State Tel Mobile Fax: Email Furnish address of branches if any, in separate sheets PIN
Page:1
3.
Private Limited Co Public Limited Co Public Sector (Central Govt.) Public Sector (State Govt.)
4. 5.
Date
Month
Year
6.
GST Date of issue Place of issue CST Date of issue Place of Issue
7.
Permenent Account No(PAN) Indicate whether the application is for renewal of the existing certificate or for a new certificate (Please ?? where appropriate) If for renewal, indicate Certificate No. Date of Issue Place of issue Page:2 Renewal New
8.
Details of spices exported during the last three financial years Year (AprilMarch) Name of Spices Quantity exported (MT) FOB value (Rs.Lakhs)
9.
Details of fee remitted Amount Mode of payment (Please ? where appropriate ) Demand Draft No. Bank
Date
10.
Name and address of the proprietor / Partners / Directors/List of Share Holders, if it is Private Limited Company (Attach additional sheet if necessary) Status of the organisation (Please ? where appropriate ) Merchant exporter (Please ? where appropriate ) Manufacturer exporter (Please ? where appropriate ) Export House Star Trading House Trading House Super Star Trading House
11.
12.
Yes
No
13.
Yes
No
Page:3
If Manufacturer exporter, a. Address of the processing unit Building No Building Name Street City State Tel. Mobile Fax Email PIN
c. Category (Please ? where appropriate ) [Attach details of share holding pattern and capital to support the category] Size Small scale industry Medium scale industry Large scale industry Others (specify) Type Private sector Public sector Co-operative Others(specify) Ownership Multinational Corporation Fully Indian owned company Joint venture Others (specify)
Page:4
d. Is the processing unit a 100% EOU (Please ? where appropriate) e. Location Address Building No. Building Name Street City State
Yes
No
EPZ
SEZ
PIN
f. Facilities available (Please ? where appropriate ) Cleaning Grading Sieving Milling Distillation Extraction Sterilization Packaging Others Please specify g. Quality testing facilities (Please ? where appropriate ) Pesticide residue Aflatoxin Chemical constituents Contaminants Physical Chemical
Page:5
Microbial
h. Installed capacity i. Details of certification (Please ? where appropriate ) Working capital available Capital structure Authorised capital Paid up capital 15.
14.
Rs.
Rs Rs
a) Whether Brand is registered (Please ? where appropriate ) b) If yes, with whom the brand is registered (Please ? where appropriate )
Yes
No
Not applicable
Spices Board Indian Trade Marks Registry Overseas Trade Marks Registry (specify Name of the country)
Page:6
16.
DECLARATION I/We declare that the information given above are true to the best of my/our knowledge and belief and that I/We shall abide by the Spices Board Rules, 1987, the conditions laid down in the Spices Board (Registration as Exporter) Regulation 1989 and any instruction given by the Board from time to time regarding the conducting of business. Signature Place: Date: Name Designation (Seal)
Note: 1. 2. 3. Application should be accompanied with prescribed fee and other documents. Fee once paid will not be refunded under any circumstances Details of exports should be given separately for each of the spice;
Page:7
2.
3.
Constitution
4.
5. 6. 7. 8.
Nature of Account Banking Since Business/Company established/ Incorporated on Other allied activities
: : : :
9. 10.
11. 12.
Means of Proprietor/Partners Name and address of Associated Concern of the firm Experience as to their dealings
: :
13.
GOOD/SATISFACTORY/UNSATISFACTORY
PLACE: DAT E:
SEAL