Form - Form A - [see regulation 9 (1)] - Handling of Cargo in Customs Areas Regulations, 2009

Form - A [see regulation 9 (1)] To The 1 [ Principal Commissioner of Customs or Commissioner of Customs, as the case may be ] , (Address) Subject: Application Form for approval / renewal of Customs cargo service provider under the Handling of Cargo in Customs Areas Regulations, 2009 issued under Section 141(2) of the Customs Act, 1962 (52 of 1962). *** Sir / Madam, I/we, the undersigned hereby submit the following details for approval as a Customs cargo service provider under the Handling of Cargo in Customs Areas Regulations, 2009 : 1. Name and address of the Applicant in full (Block Letters) :- (a) Name of the Applicant_________ (b) Full Address (Registered Office, in case of limited Companies Head Office for others) ____________ (c) Tel. No.________ (d) Fax No.________ (e) Permanent E-Mail Address _____________ (f) Name and address of each of the Directors/Partners/ Promoters, as the case may be ___________ 2. Nature of the applicant Firm or Company: (a) Public Limited Company (b) Private Limited Company (c) Proprietorship (d) Partnership (e) Others (please specify) Note:- Copy of certificate of incorporation along with Article of Association and Memorandum in case of companies and partnership deed in case of partnership firms may please be attached. 3. Extent of the proposed premises, giving details of area allocated for unloading / loading, operational and stacking area, storage area, delivery, Customs Automated System, Customs office premises, service centre, other user agencies etc. (Map to be provided). 4. Whether the applicant holds a valid Letter of Approval given by the Inter-Ministerial Committee of the Ministry of Commerce or any other Government Body for setting up of Customs cargo service facility at the premises applied for? If so, provide details thereof. 5. Projected capacity of the cargo / container proposed to be handled in the proposed premises. 6. Details of infrastructure and equipment put in place for handling of cargo in the proposed premises. (Details to be given separately for loading / unloading, stacking, storage and delivery). 7. Details of security system installed for entry / exit of cargo and other safety and security measures. 8. Details of electronic weigh bridge, other weighing, measuring devices. 9. Details of the computerized system put in place for location of cargo / container, processing of documents. 10. Whether any exemption from payment of cost recovery charges for posting of Customs officers is claimed. If so, furnish the details of the order issued in this regard by the Ministry of Finance. 11. Whether the applicant is already functioning as Customs cargo service provider. If so, details of the premises along with the respective jurisdiction of the 1 [ Principal Commissioner of Customs or Commissioner of Customs, as the case may be ] . 12. Whether the applicant had earlier applied for approval to act as Customs cargo service provider and whether such application was approved / rejected:- (i) within the jurisdiction of the 1 [ Principal Commissioner of Customs or Commissioner of Customs, as the case may be ] to whom application has been made; (ii) outside the jurisdiction of 1 [ Principal Commissioner of Customs or Commissioner of Customs, as the case may be ] referred at (i) above. 13. Whether the applicant has been penalized, convicted or prosecuted under any of the provisions of the Customs Act, 1962 (52 of 1962) or any other law for the time being in force. (If so, the details thereof). 14. If the application is for renewal, details of original approval granted under regulation 9, along with the date of its expiration or the date of last renewal of such approval. 15. List of documents furnished along with this application. 16. Declaration: (i) I am / we are authorized to make the following declarations: (ii) I / We declare that all particulars given herein are true and correct. (iii) I/We hereby affirm that I/we have read the Handling of Cargo in Customs Areas Regulations, 2009 and agree to abide by them. (iv) I/We hereby undertake to intimate any change in respect of the information provided in the aforesaid application within a period of 30 days. Date: Signature and name of the applicant(s) or authorised signatory Place: --------------------- NOTES:- 1 . Substituted vide Not. 56/2014 - Dated 6-8-2014