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<p> <To be Printed on the Letterhead of the EXIM Organisation> SafeEXIM Digital Certificate Application Form</p><p>Certificate Applicant Data (as entered on the Online Enrolment Form)</p><p>Name of the EXIM Organization: ______IEC: ______Branch Code (if applicable): ______</p><p>Postal Address of the EXIM Organization (as registered with DGFT): ______State: ______PIN Code: ______Country: India</p><p>Full Name of Certificate Applicant: ______E-mail ID of Certificate Applicant: ______</p><p>Residence Address of Certificate Applicant: ______State: ______PIN Code: ______Country: India</p><p>I do hereby declare that the information furnished above is true to the best of my knowledge and belief, and that I have personally enrolled at SafeScrypt’s designated website for a SafeEXIM Digital Certificate, for use with the DGFT online application, on behalf of my organization. I also confirm that I have read the Subscriber Agreement published on the online enrolment form and also at https://www.safescrypt.com/repository/agreements/Subscriber_Agmt-RCAI_Hierarchy.pdf </p><p>(Signature of the Certificate Applicant) Date: ______(Company Seal) ______<This Section to be completed only by the Authorised Signatory, if the Applicant is not the Authorised Signatory></p><p>I, the Authorized Signatory for the above Organisation, certify that on ______(Date), the Certificate Applicant, as stated above, is an employee of our organization with Employee ID number ______(Employee ID of the Certificate Applicant). </p><p>I also certify that the Certificate Applicant mentioned above is authorized to interact with DGFT for and on behalf of our organization through DGFT’s online web-application. Specifically, the Certificate Applicant is authorized to sign the various DGFT license applications.</p><p>I hereby authorize the above Certificate Applicant to apply for and request a DGFT SafeScrypt RCAI Class 2 Certificate, valid for one year from the date of issuance. The Certificate Applicant has personally done the online enrolment for the DGFT SafeScrypt RCAI Class 2 Certificate at the SafeScrypt designated website.</p><p>I understand that, while holding a valid SafeEXIM Digital Certificate, if this certificate ever needs to be revoked, it is my organizations responsibility to inform SafeScrypt regarding the same.</p><p>I have read the “Instructions to the Authorized Signatory” and acknowledge by my signature, that the information in this document is complete and accurate as per our office records.</p><p>Full Name of Authorised Signatory: ______Designation: ______E-mail ID: ______(Signature of Authorised Signatory) Annexure B: Signature Verification Letter</p><p><To be printed on the letterhead of the EXIM Organisation></p><p>Signature Verification Letter</p><p>TO SAFESCRYPT LIMITED</p><p>This is to Certify that …………………………………………….. (Name of the Organisation) with the Office at …………………………………………………………. (Address of the Organisation) is maintaining a bank account (A/c No. ……………………………) with our Bank ……………….………………. (Bank Name) and operating that account in the normal course of its business/activities. Mr.………………………..……. is the authorized signatory for the operation of the account. His signature as appearing below is duly attested (as per the records available with the bank).</p><p>(Signature of the Authorised Signatory) (Signature of the Branch Manager) </p><p>Name: ______Name: ______Designation: ______Designation: ______Phone No: ______</p><p>Date: ______(Bank Seal) Other Compulsory papers, which required for digital certificate </p><p>In case of Ltd or Pvt Ltd</p><p>Self attested and stamped copy of Certificate of Incorporation or Memorandum & Articles of Association.</p><p>In case of Proprietorship</p><p>1. Self-attested & stamped copy of Pan no. - Mandatory 2. Self attested copy of IEC - Mandatory Any two of the following: 3. Self attested & stamped copy of RCMC 4. Self attested & stamped copy of any Licence (DEPB/ Advance licence EPCG) 5. Self attested & stamped copy of ST Registration 6. Self attested & stamped copy of any Manufacturing License 7. Self attested & stamped copy of 2 year Income Tax Returns</p><p>In case of Partnership firm</p><p>1. Self-attested & stamped copy of Pan no. - Manadatory 2. Self attested & stamped copy of IEC - Mandatory 3. Self attested & stamped copy of Partnership Deed - Mandatory Any two of the following 4. Self attested & stamped copy of RCMC 5. Self attested & stamped copy of any Licence (DEPB/ Advance licence EPCG) 6. Self attested & stamped copy of Partnership Deed 7. Self attested & stamped copy of Registration with the Registrar of Firms 8. Self attested & stamped copy of ST Registration 9. Self attested & stamped copy of any Manufacturing License 10. Self attested & stamped copy of 2 year Income Tax Returns</p>
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