1.	NAME OF THE EXPORTER	:
2.	IEC NUMBER	:
3.	(i) Address of Registered Office	:
	(ii) Address of Branch Office(s)	:
	(iii) Address of Factory(s)	:
4.	DATE OF ESTABLISHMENT	:
5.	DESCRIPTION OF GOOD/SERVICES FOR WHICH REGISTERED	:
6.	REGISTRATION NUMBER	:
7.	REGISTERED AS (CATEGORY)	:
8.	NAME(s) OF PROPRIETOR / PARTNER(s) / DIRECTOR / KARTA	:
	This certificate is issued as per the details of our records and is subject to the condition laid down in the relevant scheme of registration of this Council.
	Signature of the Competent Officer of the Council	:
	Name	:	V. Anil Kumar
	Designation	:	Executive Director
	Valid Upto	:
	Date of issue	: