Application for Registration as Exporter-on-Record (EOR)

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....pany / Others: ____________________ CIN / LLPIN (if applicable): _____________________ Date of Incorporation/ Registration: ____________________ Registered Office Address: _____________________ Name of Authorised Signatory: _____________________ Designation: _____________________ Mobile Number: ___________________ Email ID: _____________________  2. FDI and E-Commerce Entity Disclosure   (i)  Percentage of Foreign Investment in the applicant entity on a fully diluted basis (as on the date of application) :   _______________    (ii)  Name(s) and Country(ies) of Foreign Investor(s): Name of Investor Countr....

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....eld, including any E-Commerce Export Hub (ECEH) facility: Address of Location GST Registration for this Location  ECEH? (Yes / No) Approx. Storage Capacity Ownership (Own/ Leased)  Operator Details 6. Amendment to Registration Particulars (To be completed only where this Form is submitted for amendment of registration.)      i.     Purpose of Submission Change in Constitution of the Applicant Change in Name of the Applicant Change in Registered Office Address Change in Authorised Signatory Change in Shareholding Pattern / FDI Change in Relationship with E....

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....structure, warehouse or inventory locations, e-commerce platform association, or any other material change, within 30 days of such change. iv. I acknowledge and accept that any breach of the undertakings given in this Declaration, or any noncompliance with the obligations under the Inventory-based Cross-Border E-Commerce Facilitation Framework, including but not limited to diversion of Export Inventory to the domestic market, delayed or contingent payment to Sellers-on-Record, mis-apportionment of Seller-attributable Export Benefits, misrepresentation of origin of goods, failure to maintain prescribed records, provision of false or misleading information, misuse or unauthorised disclosure of information relating to the Seller-on-Re....