FORM - F - Identity Card[see regulations 6 and clause (i) of sub-regulation (6) of regulation 17] - Customs Brokers Licensing Regulations, 2013

FORM F [see regulations 6 and clause (i) of sub-regulation (6) of regulation 17] Customs Broker Licence No .. Identity Card Photo with signature and seal of Deputy/ Assistant Commissioner of Customs M/s./Sarvashri/Shri: Designation (Proprietor, Partner, Director, Employee): Issued at: Valid upto: Name of the Customs Broker: Type of Customs Broker (Proprietorship/Firm/Pvt./Public Ltd./Others) Specimen signature of the Customs Broker: I .. have passed the examination conducted under regulation 6 of the Customs Brokers Licensing Regulations, 2013. Signature of the Deputy/Assistant Commissioner of Customs (With seal) (Photo to be supplied by the Customs Broker)