FORM - G - Identity Card[see clause (iii) of sub-regulation (6) of regulation 17] - Customs Brokers Licensing Regulations, 2013

FORM G [see clause (iii) of sub-regulation (6) of regulation 17] Valid upto . Identity Card Photo with signature and seal of Deputy/ Assistant Commissioner of Customs Shri of . having been registered in the books of this office as an authorised employee of Shri/Sarvashri of .. having been authorised 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 sub-regulation (6) of regulation 17 of the Customs Brokers Licensing Regulations 2013. Specimen Signature of employees Name of the Customs Broker Customs Station Dated the 20 . Signature of the Deputy Commissioner/Assistant Commissioner of Customs (With seal) (Photo to be supplied by the Customs Broker)