Fedex Kyc Form (27657)
Fedex Kyc Form (27657)
As mandated by Indian Customs vide CBEC Circulars 09/2010, 33/2010 and 07/2015 for
identification/verification of importers/exporters for customs clearance performed on their behalf by FedEx
acting as an Authorized Courier/CHA directly or through a CHA appointed by FedEx on behalf of Customer.
Name
Category □ Individual
□ Proprietary firm
□ Company
□ Trust / Foundation
□ Partnership firm
Permanent / registered address
Telephone No
Mobile No Email
address
Website
Principal business address/es from
which business is transacted
Telephone No
Mobile No
Name and title of authorized
signatory
Please provide proof of authority.
IEC No (attach copy)
FedEx Account No
I/We hereby declare that the particulars given herein above and the documents attached as per the checklist above
are true, correct and complete to the best of my/our knowledge and belief, and the documents submitted in support
of this KYC Form are genuine and obtained legally from the respective issuing authority. In case of any change in
any of the aforementioned particulars, I/we undertake to notify you in writing. I/We hereby authorize you to submit the
above particulars to customs and other regulatory authorities on my/our behalf as may be required in order to
transport and customs clear my/our shipments.
Place Signature
Date Name
Official Seal (for all other than individuals)