Form G - FORM – G [see regulation 19(6)(ii)] Photo Identity Card - Customs House Agents Licensing Regulations, 2004

FORM - G [see regulation 19(6)(ii)] Valid upto…………………. Photo Identity Card Shri…………………………… of……….……………………… having been registered in the books of this office as an authorized employee of Shri/Sarvashri……………………………… of …..…………………………………… having been authorized by him/them to transact business at the…………………………. Custom House on his/their behalf is hereby permitted to do so for a period of ……… years with effect from………………… or until the cancellation of the licence issued to his principal, whichever is earlier. He has passed the Examination conducted under Regulation 19 of Customs House Agents Licensing Regulations 2004. Specimen Signature of Clerks……………… Agent ……………. Customs Station. Dated the……………………20 (Photo to be supplied by the Agent) Signature of the Deputy Commissioner/Assistant Commissioner of Customs (With seal)