Form KYC (Know Your Customer)
Form KYC (Know Your Customer)
Form KYC (Know Your Customer)
PHOTOGRAPH of
Form KYC (Know Your Customer)
INDIVIDUAL /Also
attach photograph of
As required and mandated by Indian customs vide CBEC Circulars 09/2010 and 33/2010 for
the AUTHORIZED
identification/verification of importers/exporters for customs clearance performed on their behalf
SIGNATORY if any
by Shri Prakhar Gupta, CB License No.: ASLPG5339H CH001 acting as an Authorized Customs Broker
on behalf of the Customer. Please attach additional sheets if required.
Telephone,
Fax number
Telephone,
Fax number,
E-mail address
Website
I/We hereby declare that the particulars given herein above are true, correct and complete to the best of my/our knowledge and belief, the documents
submitted in support of this Form KYC 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 failing which the above particulars may be relied upon including all
shipments/documents executed and tendered by the individual so authorized and mentioned in 6 above. I/we hereby authorize you to submit the above
particulars to the customs and other regulatory authorities on my/our behalf as may be required in order to transport and customs clear my/our shipments.
Check List
I/We hereby declare that the particulars and documents attached as per the checklist above are true, correct and complete to the best of my/our
knowledge and belief, the documents submitted in support of this Form KYC 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 failing which the above particulars may be relied upon
including all shipments/documents executed and tendered by the individual so authorized and mentioned above. I/we hereby authorize you to submit the
above particulars to the customs and other regulatory authorities on my/our behalf as may be required in order to transport and customs clear my/our
shipments.