FORM - H - IDENTITY-CUM-AUTHORITY CARD[see clause (iii) of sub-regulation (6) of regulation 17 ] - Customs Brokers Licensing Regulations, 2013

FORM - H [see clause (iii) of sub-regulation (6) of regulation 17 ] Valid upto . IDENTITY-CUM-AUTHORITY CARD Photo with signature and seal of Deputy/ Assistant Commissioner of Customs Shri . of .. having been registered in the books of this office as employee of Shri/ Sarvashri /M/s .. (Customs Broker Licence No ), for assisting the Customs Broker or his authorised employee(s). 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) F. No. 502/07/2013-Cus.VI (S.C. Ganger) Under Secretary to the Government of India