APPLICATION PROFORMA FOR REGISTRATION OF QUALITY COMPLAINTS AND TRADE DISPUTES

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..... IEC number, if applicable: iv. Contact number (with area/ country code): v. E-mail ID: vi. Full name and IEC number of the firm against whom complaint is made: vii Address and contact n .....

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..... Whether any sample was approved? (attach particulars) vi. Date of arrival of goods at the destination port. vii. Condition of the goods at destination point. viii. Whether consignment was in sealed condition? If so, .....

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..... payment/ Partial payment for the goods supplied i. Total amount of contract ii. Amount Received (if any), iii. Due Date of the amount to be paid b. Non-payment of Commission i. Export order/LC (copy may be furnished) .....

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..... d. Short Supplies i. Whether any agency was nominated for inspection prior to export? (If yes, furnish details attach a copy of the report) ii. Short landing survey certificate (copy may be furnished) iii. Whether any survey was carried out at port of destination(please enclose copy) .....

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..... iv) Any other relevant information that may be of assistance in investigation of the complaint. (attach legible copies of the evidence) *Details, as applicable, are to be filled in. DECLARATION/ UNDERTAKING I hereby declare that the particulars and the statements made in this application are true and correct to the best o .....

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