APPENDIX-19A : FORM OF APPLICATION FOR REGISTRATION-CUM-MEMBERSHIP

WITH FEDERATION OF INDIAN EXPORT ORGANISATIONS

To
The Director General
Federation of Indian Export Organisations
Niryat Bhawan, Rao Tula Ram Marg
Opp. Army Hospital Research & Referral
New Delhi 110057
Dear Sir,
Kindly register us as Merchant/Manufacturer/Merchant-cum-Manufacturer Exporter / Service
Provider of the export product(s)/services mentioned below:
1. Name of the applicant (firm) : ...............................……………………......................
2. (i) Address of the applicant. : ...................………………….....................................
(Registered Office in case of ............................................…………………............
limited companies, and the ......................................................…………………..
head office for others)
(ii) Name, address of the : ......................................................………………….
branches, if any
(Use extra sheet, if space provided is
not sufficient and attach as Annexure)

(iii) Name and address of the : ......................................................………………….

factory(ies)
(Use extra sheet, if space provided is
not sufficient and attach as Annexure)

3. (i) IEC number : .....................................................………………….

Date of issue (DD)....…….….(MM)……....….(YYYY)
…………....
Issuing authority ......................................................………………….
(Please attach self-certified copy)
(ii) Date of establishment (firm) : (DD)....…….….(MM)……....….(YYYY)…………....
4. If the registration is required : No. ...........…………………..................................…
as a manufacturer exporter SSI Date..................................…………………..........…
Registration/Industrial Licence/IEM Issuing Authority:...........................…………………
......................................................………………….
Others (specify) : ......................................................………………….
(Please attach self-certified copy)

5. EH/Star EH/TH/Star TH/Premier TH : No………..………….dated……………………………

Certificate Number Valid from 01/04/……………………………..(YYYY)
(Please attach self-certified copy) upto 31/03/……………………………………(YYYY)

contd….2.

Constitution of the firm. Please () one of the following:

Please () one of the following: Registration is required as :
 Merchant Exporter
 Limited
 Merchant/SSI
 Pvt. Ltd.  SSI Exporter
 Partnership  Large Scale Exporters (holders of Industrial
 Proprietorship Licence/IEM)
 Others, specify  Manufacturer Exporter (Regd with Central
Excise)
 Merchant/Manufacturer Exporter)
 -2-

6. Details of Directors/Partners/Proprietor/Karta to be given in the following manner:

6.1 (a) Name : Sh/Smt/Ms…………........................................
(b) Father’s Name : ................................……………......................
(c) Residential Address : ................................................……………......
.............................................…………….........
................................................……………......
(d) Telephone No(s). : 91-………(STD Code)-.…………….................
6.1 (a) Name : Sh/Smt/Ms…………........................................
(b) Father’s Name : ................................……………......................
(c) Residential Address : ................................................……………......
.............................................…………….........
................................................……………......
(d) Telephone No(s). : 91-………(STD Code)-.…………….................

6.1 (a) Name : Sh/Smt/Ms…………........................................

(b) Father’s Name : ................................……………......................
(c) Residential Address : ................................................……………......
.............................................…………….........
................................................……………......
(d) Telephone No(s). : 91-………(STD Code)-.…………….................

6.1 (a) Name : Sh/Smt/Ms…………........................................

(b) Father’s Name : ................................……………......................
(c) Residential Address : ................................................……………......
.............................................…………….........
................................................……………......
(d) Telephone No(s). : 91-………(STD Code)-.…………….................

6.1 (a) Name : Sh/Smt/Ms…………........................................

(b) Father’s Name : ................................……………......................
(c) Residential Address : ................................................……………......
.............................................…………….........
................................................……………......
(d) Telephone No(s). : 91-………(STD Code)-.…………….................

6.1 (a) Name : Sh/Smt/Ms…………........................................

(b) Father’s Name : ................................……………......................
(c) Residential Address : ................................................……………......
.............................................…………….........
................................................……………......
(d) Telephone No(s). : 91-………(STD Code)-.…………….................

(Use extra sheet, if space provided is not sufficient and attach as Annexure)

contd…3.
 -3-

7. (a) Name of export Product(s)/Services for which registration is required.

Sl. No. Name of Export Product(s) / Services for which ITC HS Code
Registration is required Number(s)

(Use extra sheet, if space provided is not sufficient and attach as Annexure)
(ITC HS Code Number(s) not required in the case of Services Exporters)

(b) Main line of business of applicant :

8. I/we hereby solemnly declare that the above stated information is true and correct.
I/We undertake, without any reservation, to :
(a) abide by the Memorandum and Rules and Regulations of the Federation as framed from
time to time;
(b) abide by the terms of the registration certificate granted to us on all our exports;
(c) agree to abide by any code of conduct that may be prescribed;
(d) agree to abide by export floor price condition that may be stipulated by the Registering
Authority;
(e) furnish without fail quarterly returns of exports including NIL returns to the Registering
Authority by 15th day of the months following the quarter.
9. We further understand that our registration is liable to be cancelled in the event of breach of any
of the undertakings mentioned above.
10. We / I solemnly declare that we have applied to the FIEO/Export Promotion Council which
pertains to our main line of business. In case we have applied to any other FIEO/Council, the
application has been made within the purview of the provisions of Handbook of Procedures
(Vol 1).
Yours faithfully,

(Signature)
Name (Sh/Smt/Ms).........................………………………………….
(IN BLOCK LETTERS)
Address (Postal)…................…………....................…………………
…………………………………………...…………………….……….
Designation...…………………..........................................…………
Tele No(s).: 91-……..……(STD Code)-…………................………..
Fax No(s).: 91-……….…(STD Code)-……………...............………..
Email id : ……………………………………………………………….
Website: http:/www……………………………………………………
Residential Address...……………….................................………..
...…………………………..................................................………..
Res Tel Number(s) 91-………(STD Code)-……………...…………
Place........................
Date......................… Please also see next page
 Documents to be enclosed with the application form
1. A self-certified copy of the IEC Number issued by the licensing authority concerned.
2. A Cheque/Pay Order/Demand Draft favouring Federation of Indian Export Organisations
towards Annual Membership Subscription payable according to Rule 6 (i) of the Rules &
Regulations of the Memorandum & Articles of Association of FIEO.
3. Letter of Authority on the letterhead of the firm duly completed and signatures at Column
No.6 attested by C.A by putting signatures, seal with Regn. No./Bank with signatures and
seal by an officer. Proforma enclosed.
4. Self-certified copy(ies) of the SSI Registration Certificate/Industrial Licence/IEM/others, if
applicable.
5. A self-certified copy of Export House/ Star Export House Trading House/Star Trading
House/Premier Trading House Certificate, if applicable.
6. Export Turnover country-wise/commodity-wise for the past 3 financial years. Proforma
enclosed.
or
Statement of foreign exchange earnings for the past 3 financial years-For Service Providers
……………..……………………………………………………………………………………………………….
Each Associate Member shall pay for every financial year (April-March) a subscription as
hereunder (A new member/re-admission of member shall also pay Rs.1000/- + 10.3%
Service Tax as entrance fees):

a. Premier Trading House………………………………….… Rs. 75,000.00

b. Star Trading House…….…………………………..……… Rs. 40,000.00 plus
c. Trading House……………………………………………… Rs. 20,000.00 10.3%
d. Star Export House..……………..……………….………… Rs. 10,000.00 Service
e. Export House……………..………………………………… Rs. 7,500.00 Tax
f. State Export Organisation ………………………………Rs. 5,000.00 w.e.f.
g. Service Providers………………………………………….. Rs. 5,000.00 1.4.2010
h. EOUs and FTZEPZ Units…………………………………. Rs. 7,500.00
i. Multi Product Group Category……………………………. Rs. 5,000.00

………………………………………………………………….…………………………………………………
 LETTER OF AUTHORITY
(Authorisation Form as a member on Company’s Letterhead in triplicate)

We, hereby authorise the individual(s) whose names and signatures are attested below, to vote
on our behalf and represent us in meetings of FIEO.

1. Name of the firm :

2. Address :

3. Status : Export House/Star Export House/Trading House/Star

Trading House/Premier Trading House/Registered
Exporter/Service Provider / EPC/Commodity Board/
Association/Chamber of Commerce/Institute

4. Name in Capital Letters of :

Authorised representative(s)

5. Signatures of Authorised :
representative(s)

6. Name, Designation and :

Signatures of Head of
Organisation Or Authorised
Signatory of the Organisation
with seal or stamp of the
Organisation.

7. Attested by Bank/Chartered :
Accountant with seal & Regn. No.

Date : _____(dd)_____(mm)___________(yyyy)

(Subsequently, above authorized representative(s) may re-authorise another person to attend any specific
meeting and he may attest the signatures).
 FEDERATION OF INDIAN EXPORT ORGANISATIONS
PROFORMA
FOR SUBMITTING ANNUAL EXPORT PERFORMANCE
&
QUARTERLY EXPORT PERFORMANCE

IEC NO....………............................ FIEO Computer Code No....…………............................

FIEO RCMC No.................................
Name & address of Organisation .………………………...........................................................
Financial Year………………………………………………..………….......(April-March)
Quarter......……………(April-June/July-September/October-December/January-March

EXPORTS
Description ITC Name of FOB Value FOB Value
of items Harmo- country Rs. Lakhs (item wise)
exported nised (item wise) (item wise) foreign
as per Code currency
Shipping Number
Bill
SSI Non- Total Foreign Total
SSI Currency

Grand Total......................................…….

IMPORTS
Description ITC Harmonised Name of the CIF in Rs.Lakhs
of items Code Number Country total
Imported

Grand Total.....................................……….

Signature..............................................…….
Name.....................................................…….
Designation..............................................….
Seal.....................................................………
INSTRUCTIONS
1. Please do not club countries together and do not mention markets, regions or
continents e.g. specify Saudi Arabia instead of writing Middle East or specify
Germany instead of writing Europe.
2. This statement of quarterly exports signed by authorized signatory, including NIL
returns
be forwarded to FIEO by 15th day of the month following the Quarter.
3. With export returns of the last quarter of every financial year please send the annual
exports return and the target set for the next financial year in the same proforma.

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