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Form H - FORM H [see regulation 19(6)(iii)] - Customs House Agents Licensing Regulations, 2004Extract FORM - H [see regulation 19(6)(iii)] Valid upto
. Photo Identity-cum-Authority Card Shri
. of
.
having been registered in the books of this office as Clerk of Shri/Sarvashri/M/s
..
(C.H.A. Licence No
), for assisting the Custom House Agent or his authorized employee(s). Specimen Signature of Clerks
Agent
. Customs Station. Dated the
200 (Photo to be supplied by the Agent) Signature of the Deputy Commissioner/Assistant Commissioner of Customs (With seal)
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