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Union of India - Section
Section 19 in Customs Brokers Licensing Regulations, 2018
19. Membership of associations.
| 1. | Name of the applicant :- |
| 2. | Full address of the applicant :- |
| 3. | Aadhaar Number:- |
| 4. | Names, Permanent Account Numbers (PAN) andaddress of each of the partners of the firm or the directors ofthe company, as the case may be, in case the applicant is a firmor a company :- |
| 5. | Name and Permanent Account Numbers (PAN) of itspartner/partners or director/directors who will actually beengaged in the work as Customs Broker, in case the applicant is afirm or a company:- |
| 6. | Educational qualification of each of thepersons, who may be engaged as Customs Broker :- |
| 7. | Total number of attempts the applicant has madein the examination referred to in regulation 9 of the CustomHouse Agents Licensing Regulation, 1984 or regulation 8 of theCustom House Agents Licensing Regulation, 2004 or regulation 6 ofthe Customs Brokers Licensing Regulations, 2013 or regulation 6of the Customs Brokers Licensing Regulations, 2018:- |
| Declaration : | |
| (a) | I have working knowledge of English/locallanguage (.........)/Hindi. |
| (b) | I have not earlier applied for a license to actas Customs Broker and no such application was rejected/accepted. |
| (c) | The firm or company by whom the undersigned isemployed have earlier held a Customs House Agent or CustomsBroker's License under the Customs House Licensing Regulation,1984, the Customs House Licensing Regulation, 2004 or the CustomsHouse Licensing Regulation, 2013or these regulations and it wascancelled or suspended/not cancelled or suspended. |
| (d) | The undersigned/the person proposed to beemployed by me have been/have not been penalised, convicted orprosecuted under any of the provisions of the Customs Act, 1962(52 of 1962), the Central Excise Act 1944 (1 of 1944), and theFinance Act, 1994. |
| S. No. | Educational | Financial |
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