8/19/2019 ANF-2B

1/1

ANF- 2B

APPLICATION FORM FOR IDENTITY CARD

(The Importers / Exporters can avail the facility of collection of Authorization & documents

from the counters of the concerned RA through an authorized person holding identity card

issued by the RA or submit a self addressed envelope a!xed "ith postal stamp of

Rs#$%/ for delivery of aforesaid documents by post' #

hotograph

duly attested

by roprietor/

artner/

)irector/o"er

of Attorney

*older

+' ,ame of the person -#############################(in "hose favour Identity .ard is to be issued'

' )esignation of the person -#############################

0' IE. ,umber of the 1rm- -#############################

$' )etails of 2ee -a' TR .hallan ,o-,ame of the 3an4 /3ranch of issue

b' E2T (Electronic 2und Transfer' Transaction ,oc' .redit/)ebit .ard ayment Transaction ,o-

DECLARATION

i' I / 5e 6hri ################################# 7 roprietor/artner/)irector of the 1rm/company herebydeclare that the person in "hose favour identity card is to be issued is the authorised

employee of the 1rm#

ii' I / 5e further underta4e that the document(s' /8icence(s' may be handed over to the

Identity .ard holder at the sole ris4 and responsibility of the 1rm#

6ignature of the proprietor/ partner/)irector/o"er of Attorney *older

lace ,ame

)ate )esignation

Documents to be enclosed wit te !""lic!tion #o$m

+# .opy of TR .hallan/ E2T/.redit/)ebit .ard payment receipt evidencing payment of fee# T"o passport size photographs of the person in "hose favour identity card is to beissued#