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Application Form for Grant of Customs Broker’s License under section 146 of the Customs Act, 1962 - see sub-regulation (2) of regulation 4 - Customs Brokers Licensing Regulations, 2018

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.... Full address of the applicant :- 3. Aadhaar Number:- 4. Names, Permanent Account Numbers (PAN) and address of each of the partners of the firm or the directors of the company, as the case may be, in case the applicant is a firm or a company :- 5. Name and Permanent Account Numbers (PAN) of its partner/partners or director/directors who will actually be engaged in the work as Cu....

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....rsigned is employed have earlier held a Customs House Agent or Customs Broker's License under the Customs House Licensing Regulation, 1984, the Customs House Licensing Regulation, 2004 or the Customs House Licensing Regulation, 2013 or these regulations and it was cancelled or suspended/not cancelled or suspended. (d) ^1[(d) The undersigned/the person proposed to be employed by me have been/....

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....sp;                                                            Signature of applicant   &....