APPLICATION FORM FOR REGISTRATION CUM MEMBERSHIP CERTIFICATE (RCMC)

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..... Application Number File Name Basic Details IEC PAN Firm Name Date of Birth/ Incorporation IEC Issuance Date DGFT RA Office Nature of concern/ Firm Category of Exporters CIN/ LLIP Annual Turnover of the Firm (Previous FY in INR) .....

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..... Branch Details Branch Code Is SEZ Is EOU GSTIN Address Line 1 Address Line 2 City Pin Code District State Indus .....

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..... n Council / Commodity Board Main Line of Business Application Type MSME Status Status holder Category of Exporters No. of Years Membership Applied for Financial Year for which Membership is applied for Annual Turnover of the Firm (Previous FY in INR) Export Performance in Previous FY Fee Details S.No. .....

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..... Representative for the council Category Name Designation Address Line 1 Address Line 2 City Pin Code District State Telephone No Mobile Phone No. Email Other Information (Countries to Which the Company is Exporting) .....

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