MINISTRY OF COMMERCE AND INDUSTRY

GOVERNMENT OF INDIA

For Office Use Only : Type : I/E/B No. :

DIRECTORATE GENERAL OF COMMERCIAL INTELLIGENCE AND STATISTICS

KOLKATA 700 001

Questionnaire to be filled-in by the Indian Importing/ Exporting Organizations for Inclusion in Indian Importers Directory/ Exporters Directory

1, COUNCIL HOUSE STREET

01)

Name of the Organisation : .. (in Capital Letters) Address (in Capital Letters) : P. O. .City/ Dist. ... State/ U. T. Pin . Tel. .... Fax E-mail ... Website . Address of Foreign Branch . 02) . 03) 04) Contact Persons : Mr./Ms. . Designation .. Date of Incorporation : .

: Day.. Month Year .. b) Pub. Ltd. Co. d) f) Others (pl.

Type of Organisation : a) Govt.Undertaking (Pl. mark) c) Pvt. Ltd. Co. e) Partnership Firm

Proprietory Firm specify) 05) Nature of Business (Pl. mark) : a) Manufacturer b) Manufacturer

Exporter c) Manufacturer Importer-Exporter

d) Merchant Importer Exporter f) Manufacturer Importer specify) 06) I. E. Code : (Pl. enclose copy of IEC allotment letter) .

e) Merchant g) Others (pl.

Date ..

Contd. .P/2.

:: 2

::

07) Experience in Foreign Trade: Import Business since . (Pl. specify the year) Export Business since .. 08) Registration cum Membership : Certificate (Pl. specify in the box) Name of EPC,, COMM.. l i d i t y Cerficate V a

09) Whether given status as an : Export/ Trading/ Star Trading/ Super Star Trading House (Pl. specify in the box)

Status Certificate i d i t y

Date of

V a

10) Whether ISO 9000 (Series) or : any equivalent internationally recognized certificate of quality

Issuing Organization Purpose of and Name of the Certification

Date of issue

Certificate No.

has been acquired (Pl. specify in the relevant box)

11) Membership with Trade/ : Industrial Association

Name & Address (P.O., City/Dist.,Pin) Associated Of the Association with Tel., Fax, E-mail

Contd. .P/3.

:: 3 ::

12) may

Details of the items : (Brand name (if any)

Sl. Items processed/ Quantity/ Value in No. Services rendered

HS Code 6-digit level

also be mentioned) produced/ services rendered during the last complete financial year (Pl. specify year)

13)Total value of Export and Import :

Financi al Year 1999-

Total Export FOB value CIF value

Total Import

trade undertaken during the last 3 (three) years 1998-

14)Country-Commodity wise exports : during the last financial year (Pl. specify year or any previous year)

Sl. Description Unit/ FOB value No. of

ITC (HS) Code

Country of destination

15)Country-Commodity wise import : Trade undertaken during the last complete financial year (Pl. specify year or any previous year)

Sl. Description Unit/ CIF value No. of

ITC (HS) Code

From where Imported

N.B. : . Name of specific items should be mentioned instead of Group of items such as, Chemicals Raw Materials, Spares, Capital Goods etc. . ITC (H.S.) Code of commodities must be mentioned for point nos. 12, 14, 15. Contd. .P/4. :: 4 :: 16) Name and full address : ;.... .. of the Banker(s) with Tel., .

Fax nos. and E-mail address . (if any) 17) Audited Financial results : during the last 3 (three) complete Financial years value in lakhs (Rs.) Particulars
1) from 2) 3) Net sales/ income Other Income Net Profit/Loss

Year ended Year ended

Year ended

operations

Annual Audited Report/ Profit-Loss statement must be furnished.

Signature (in ink) with Seal of Authorized Signatory ... Place : . Date : . Name (in Block Letters) Designation .

N. B. : Questionnaire must be submitted in duplicate. Please annex the following documents :

Copy of Allotment Letter of IEC ;

Copy of latest Annual Report/ Profit and Loss Statement etc. (as applicable) ; Supporting copies for point nos. 8 , 9 and 10 .