7fc5
{
  "metadata": {
    "url": "https://www.shefexil.org/add-member.php",
    "title": "SHEFEXIL",
    "meta_description": "",
    "meta_keywords": ""
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  "content": "SHEFEXIL\nAbout\nArchives\nEnquiry\nContact\nExports\nPanels\nShellac & Lac Based Products\nVegetable Saps & Extracts of Herbs\nGuar Gum\nHerbs\nFixed Vegetable Oils, Oil Cakes & Others\nOther Vegetable Materials\nNorth East Region\nArunachal Pradesh\nAssam\nManipur\nMeghalaya\nMizoram\nNagaland\nTripura\nSikkim\nNutraceuticals\nBrochure\nPublic Notice\nNews\nTenders\nStatistics\nResources\nMedia & Events\nElection to COA for FY 2025-26\nBharat Nutraverse EXPO 2025\nExports\nPanels\nNutraceuticals\nShellac & Lac Based Products\nVegetable Saps & Extracts of Herbs\nGuar Gum\nHerbs\nFixed Vegetable Oils, Oil Cakes & Others\nOther Vegetable Materials\nNorth East Region\nNorth East Regions\nArunachal Pradesh\nAssam\nManipur\nMeghalaya\nMizoram\nNagaland\nTripura\nSikkim\nNews\nTenders\nStatistics\nResources\nMedia & Events\nElection to COA for FY 2025-26\nBharat Nutraverse EXPO 2025\nMembership form\nHome\nMembership form\nPANELS\nShellac & Lac Based Products\nVegetable Saps & Extracts\nGuar Gum\nHerbs\nFixed Vegetable, Oil Cake & Others\nOther Vegitable Materials\nNorth East Region\nREGISTRATION-CUM-MEMBERSHIP CERTIFICATE\nName of the exporter (M/s)*\nIEC Number\nAddress of the Registered/Head Office\nDate of establishment\nDescription of goods/ services for which registered\nRegistration  Number\nRegistered as:\nManufacturer exporter\nMerchant exporter\nMerchant cum manufacturer exporter\nName of the Proprietor/ Partner(s)/ Director(s)/Karta\nThis certificate is issued as per the details of our records and is subject to the conditions laid down in the relevant scheme of registration of this council.\n(Signature of the competentofficer of the E.P. Council)\nName\nDesignation\nSeal\nValid / renewed upto\nDate of issue\nAPPLICATION FORM FOR REGISTRATION CUM MEMBERSHIP CERTIFICATE (RCMC)\nTo the (Name and Address of the Council)\nName of the applicant\nAddress of the applicant.(Registered Office in case of limited companies, and the head office for\nothers)\nName address of the branches, if any\nName and address of the factory.\nIEC number\nDate of issue\nIssuing authority\nPayment details\nIf registration is required as a manufacturer exporter (SSI Registration/ Industrial Licence/IEM )\nNo.\nDate\nIssuing Authority:\nOthers (specify)\nEH/TH/STH/SSTH/SHE/ISEH/ISSEH/ISSEH certificate number\nValid upto\nIf Status Holder : (category)\ncertificate number\nValid upto\nName of export product(s) or its category for which registration is required\nMain line of business of applicant\nI hereby solemnly declare that the above stated information is true and correct and I undertake to abide by the FT (D&R) Act, 1992 and the provisions under FTP.\nI/We hereby solemnly declare that the above stated information is true and correct. I/We undertake, without any reservation, to:\nabide by the terms of the registration certificate granted to us on all our exports.\nagree to abide by any code of conduct that may be prescribed.\nagree to abide by export floor price condition that may be stipulated by the Registering Authority\nFurnish without fail monthly returns of exports including NIL returns to the Registering authority by 15th day of the months following the quarter.\nWe further understand that our registration is liable to be cancelled in the event of breach of any of the undertakings mentioned above.\nI solemnly declare that I have applied to the Export Promotion Council which pertains to our main line of business. In case I have applied to any other council, the application has been made within the purview of the provisions of Para 2.94 of the Handbook of Procedures.\nPlace\nDate\nYours faithfully,\n(Signature)\nName\nAddress\nEmail*\nMobile*\nA self certified copy of the IEC issued by the licensing authority concerned*.\nCaptcha*\nHome\nTrade Enquiry\nPrivacy policy\nDisclaimer\nSitemap\nContact Us\nCopyright © 2014. All Rights Reserved by Shellac and Forest Products Export Promotion Council",
  "html": "<html><head>\n<meta charset=\"utf-8\">\n<meta http-equiv=\"Content-Type\" content=\"text/html;charset=ISO-8859-1\">\n<meta name=\"description\" content=\"\">\n<meta name=\"keywords\" content=\"\">\n<meta property=\"og:image\" content=\"http://www.shefexil.org/images/logo_main.png\">\n<script type=\"text/javascript\">\nvar localTime = new Date();\nvar year= localTime.getYear()+1900;\nvar month= localTime.getMonth() +1;\nvar date = localTime.getDate();\nvar hours = localTime .getHours();\nvar minutes = localTime .getMinutes();\nvar seconds = localTime .getSeconds();\nvar timezone=localTime.getTimezoneOffset();\nif(date<10){\ndate=\"0\"+date;\n}\nvar visitortimezone=year+\"-\"+month+\"-\"+date+\" \"+hours+\":\"+minutes+\":\"+seconds;\nvar zone=-(localTime.getTimezoneOffset()/60);\nif (window.XMLHttpRequest)\n{// code for IE7+, Firefox, Chrome, Opera, Safari\nxmlhttp=new XMLHttpRequest();\n}\nelse\n{// code for IE6, IE5\nxmlhttp=new 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src=\"https://www.shefexil.org/upload/shefexil.mp3\" type=\"audio/mpeg\"></audio>\n\t\t<a id=\"shefixilAudio_btn\" onclick=\"togglePlay()\" class=\"play\"><div class=\"loader-circle\"></div><div class=\"loader-line-mask\">\n      <div class=\"loader-line\"></div>\n    </div></a>\n\t<script> \n\t\tvar myAudio = document.getElementById(\"shefixilAudio\");\n\t\tvar isPlaying = false;\n\t\t\n\t\tfunction togglePlay() {\n\t\t  if (isPlaying) {\n\t\t\tmyAudio.pause()\n\t\t\t$(\"#shefixilAudio_btn\").removeClass(\"pause\");\n\t\t\t$(\"#shefixilAudio_btn\").addClass(\"play\");\n\t\t  } else {\n\t\t\tmyAudio.play();\n\t\t\t$(\"#shefixilAudio_btn\").removeClass(\"play\");\n\t\t\t$(\"#shefixilAudio_btn\").addClass(\"pause\");\n\t\t\t\n\t\t  }\n\t\t};\n\t\tmyAudio.onplaying = function() {\n\t\t  isPlaying = true;\n\t\t  myAudio.volume = 0.5;\n\t\t};\n\t\tmyAudio.onpause = function() {\n\t\t  isPlaying = false;\n\t\t};\n\t\tmyAudio.onended = function() {\n\t\t\t$(\"#shefixilAudio_btn\").removeClass(\"pause\");\n\t\t\t$(\"#shefixilAudio_btn\").addClass(\"play\");\n\t\t};\n\t</script> \n      <ul class=\"right hide-on-med-and-down\">\n        <li><a href=\"exports.php\">Exports</a></li>\n        <li><a href=\"javascript:void(0)\">Panels <i class=\"fa fa-angle-down\" aria-hidden=\"true\"></i></a>\n\t\t\t<ul class=\"sub-menu pannel\" style=\"display:none\">\n\t\t\t\n\t\t\t  <li><a href=\"shellac-lac-based-products.php\">Shellac &amp; Lac Based Products</a></li>\n\t\t\t  <li><a href=\"vegetable-sap-extracts.php\">Vegetable Saps &amp; Extracts of Herbs</a></li>\n\t\t\t  <li><a href=\"guar-gum.php\">Guar Gum</a></li>\n\t\t\t  <li><a href=\"herbs.php\">Herbs</a></li>\n\t\t\t  <li><a href=\"vegetable-oil-cakes-others.php\">Fixed Vegetable Oils, Oil Cakes &amp; Others</a></li>\n\t\t\t  <li><a href=\"other-vegetable-materials.php\">Other Vegetable Materials</a></li>\n\t\t\t  <li><a href=\"north-east-region.php\">North East Region <i class=\"fa fa-angle-right\" aria-hidden=\"true\"></i></a>\n\t\t\t\t  <ul class=\"sub-sub-menu\">\n\t\t\t\t  \n\t\t\t\t  \t  <li><a href=\"arunachal-pradesh.php\">Arunachal Pradesh</a></li>\n\t\t\t\t\t  <li><a href=\"assam.php\">Assam</a></li>\n\t\t\t\t\t  <li><a href=\"manipur.php\">Manipur</a></li>\n\t\t\t\t\t  <li><a href=\"meghalaya.php\">Meghalaya</a></li>\n\t\t\t\t\t  <li><a href=\"mizoram.php\">Mizoram</a></li>\n\t\t\t\t\t  <li><a href=\"nagaland.php\">Nagaland</a></li>\n\t\t\t\t\t  <li><a href=\"tripura.php\">Tripura</a></li>\n\t\t\t\t\t  <li><a href=\"sikkim.php\">Sikkim</a></li>\n\t\t\t\t  </ul>\n\t\t\t  </li>\n\t\t\t  \n\t\t\t  <li><a href=\"north-east-region.php\">Nutraceuticals <i class=\"fa fa-angle-right\" aria-hidden=\"true\"></i></a>\n\t\t\t\t  <ul class=\"sub-sub-menu\">\n\t\t\t\t  \t  <li><a href=\"/2024_02_27_SHEFEXIL_HADSA_Conference_Nutraceuticals_Brochure_Ver3_Final_curves.pdf\" target=\"_blank\">Brochure</a></li>\n\t\t\t\t\t  <li><a href=\"/PN-55-dtd-2nd-Feb-2023.pdf\" target=\"_blank\">Public Notice</a></li>\n\t\t\t\t\t  \n\t\t\t\t  </ul>\n\t\t\t  </li>\n\t\t\t  \n\t\t\t</ul>\n\t\t</li>\n        <li><a href=\"news.php\">News</a></li>\n        <li><a href=\"tenders.php\">Tenders</a></li>\n        <li><a href=\"statistics.php\">Statistics</a></li>\n        <li><a href=\"resources.php\">Resources</a></li>\n        <li><a href=\"media-events.php\">Media &amp; Events</a></li>\n        <li><a href=\"/election-fy-2025-26.php\">Election to COA for FY 2025-26</a></li>\n        <li><a href=\"https://www.shefexil.org/Bharatnutraverse\" target=\"blank\">Bharat Nutraverse EXPO 2025</a></li>\n        <!--<li><a href=\"member-area.php\" >Members</a></li>-->\n        <!--<li><a href=\"javascript:void(0)\">Online Membership Details <i class=\"fa fa-angle-down\" aria-hidden=\"true\"></i></a>\n        \t<ul class=\"sub-menu\">\n            \t<li><a href=\"new-membership.php\">New Membership</a></li>\n                <li><a href=\"renewal-of-membership.php\">Renewal of Membership</a></li>\n            </ul>\n        </li>-->\n        \n\t\t      </ul>\n\t  \n\t  \n\t  <!--Mobile Menu-->\n      <ul id=\"nav-mobile\" class=\"side-nav right-aligned\" style=\"transform: translateX(100%);\">\n        <li><a href=\"exports.php\">Exports</a></li>\n        \n\t\t\t\n\t\t\t<ul class=\"collapsible collapsible-accordion\">\n\t\t\t<li><a class=\"collapsible-header\" href=\"javascript:void(0)\">Panels</a>\n\t\t\t<div class=\"collapsible-body\">\n\t\t\t<ul>\n\t\t\t  <li><a href=\"/pdf/SHEFEXIL_HADSA_Conference_Nutraceuticals_Brochure_Ver3_Final_curves.pdf\">Nutraceuticals</a></li>\n\t\t\t  <li><a href=\"shellac-lac-based-products.php\">Shellac &amp; Lac Based Products</a></li>\n\t\t\t  <li><a href=\"vegetable-sap-extracts.php\">Vegetable Saps &amp; Extracts of Herbs</a></li>\n\t\t\t  <li><a href=\"guar-gum.php\">Guar Gum</a></li>\n\t\t\t  <li><a href=\"herbs.php\">Herbs</a></li>\n\t\t\t  <li><a href=\"vegetable-oil-cakes-others.php\">Fixed Vegetable Oils, Oil Cakes &amp; Others</a></li>\n\t\t\t  <li><a href=\"other-vegetable-materials.php\">Other Vegetable Materials</a></li>\n\t\t\t  <li><a href=\"north-east-region.php\">North East Region</a></li>\n\t\t\t  <ul class=\"collapsible collapsible-accordion\">\n\t\t\t  <li><a class=\"collapsible-header\" href=\"javascript:void(0)\">North East Regions</a>\n\t\t\t  <div class=\"collapsible-body\">\n\t\t\t\t  <ul>\n\t\t\t\t  \t  \n\t\t\t\t  \t  <li><a href=\"arunachal-pradesh.php\">Arunachal Pradesh</a></li>\n\t\t\t\t\t  <li><a href=\"assam.php\">Assam</a></li>\n\t\t\t\t\t  <li><a href=\"manipur.php\">Manipur</a></li>\n\t\t\t\t\t  <li><a href=\"meghalaya.php\">Meghalaya</a></li>\n\t\t\t\t\t  <li><a href=\"mizoram.php\">Mizoram</a></li>\n\t\t\t\t\t  <li><a href=\"nagaland.php\">Nagaland</a></li>\n\t\t\t\t\t  <li><a href=\"tripura.php\">Tripura</a></li>\n\t\t\t\t\t  <li><a href=\"sikkim.php\">Sikkim</a></li>\n\t\t\t\t  </ul>\n\t\t\t\t  </div>\n\t\t\t  </li>\n\t\t\t  </ul>\n\t\t\t</ul>\n\t\t\t</div>\n\t\t</li>\n\t\t</ul>\n        <li><a href=\"news.php\">News</a></li>\n        <li><a href=\"tenders.php\">Tenders</a></li>\n        <li><a href=\"statistics.php\">Statistics</a></li>\n        <li><a href=\"resources.php\">Resources</a></li>\n        <li><a href=\"media-events.php\">Media &amp; Events</a></li>\n        <li><a href=\"/election-fy-2025-26.php\">Election to COA for FY 2025-26</a></li>\n        <li><a href=\"https://www.shefexil.org/Bharatnutraverse\" target=\"blank\">Bharat Nutraverse EXPO 2025</a></li>\n        <!--<li><a href=\"member-area.php\" >Members</a></li>-->\n        \t\t      </ul>\n      <a href=\"#\" data-activates=\"nav-mobile\" class=\"button-collapse\"><i class=\"fa fa-bars\"></i></a></div>\n  </div>\n</nav><style>\nul.table {\n    margin: 0;\n    float: left;\n    width: 100%;\n    margin-top: -10px;\n}\n\nul.table li {\n    float: left;\n    width: 33.33%;\n    text-align: center;\n    margin: 20px  0;\n}\n</style>\n<div class=\"section page-title-banner\" style=\"padding:30px 0 0;\">\n  <div class=\"container\">\n    <div class=\"page_banner\">\n\t<img src=\"images/top_panel.png\">\n      <div class=\"page_title\">\n\t  <div class=\"page_title_inside\">\n        <h1>Membership form</h1>\n\t\t</div>\n      </div>\n    </div>\n    <div class=\"breadcrumbs\"><a href=\"index.php\">Home</a><span>Membership form</span></div>\n  </div>\n</div>\n<div class=\"section page\" id=\"page\" style=\"padding:0;\">\n  <div class=\"container\">\n    <div class=\"row\" style=\"margin:0;\">\n      <div class=\"col s12 m12 l3\">\n        <div class=\"row sidebar\">\n  <div class=\"col s12 m12 l12 res_widgets about-wid\">\n    <div class=\"col s12 m12 l12 heading\" style=\"padding: 0;\">\n      <h1>PANELS</h1>\n    </div>\n    <ul>\n      <li id=\"shellac-lac-based-products\"><a href=\"shellac-lac-based-products.php\">Shellac &amp; Lac Based Products</a></li>\n      <li id=\"vegetable-sap-extracts\"><a href=\"vegetable-sap-extracts.php\">Vegetable Saps &amp; Extracts</a></li>\n      <li id=\"guar-gum\"><a href=\"guar-gum.php\">Guar Gum</a></li>\n      <li id=\"herbs\"><a href=\"herbs.php\">Herbs</a></li>\n      <li id=\"vegetable-oil-cakes-others\"><a href=\"vegetable-oil-cakes-others.php\">Fixed Vegetable, Oil Cake &amp; Others</a></li>\n      <li id=\"other-vegetable-materials\"><a href=\"other-vegetable-materials.php\">Other Vegitable Materials</a></li>\n      <li id=\"north-east-region\"><a href=\"north-east-region.php\">North East Region</a></li>\n    </ul>\n  </div>\n</div>\n\n<script>\n$(document).ready(function(){\nvar k='add-member';\nif(k=='shellac-lac-based-products'){\n$('#shellac-lac-based-products').addClass('active');\n}\nelse if(k=='vegetable-sap-extracts'){\n$('#vegetable-sap-extracts').addClass('active');\n}\nelse if(k=='guar-gum'){\n$('#guar-gum').addClass('active');\n}\nelse if(k=='herbs'){\n$('#herbs').addClass('active');\n}\nelse if(k=='vegetable-oil-cakes-others'){\n$('#vegetable-oil-cakes-others').addClass('active');\n}\nelse if(k=='other-vegetable-materials'){\n$('#other-vegetable-materials').addClass('active');\n}\nelse if(k=='north-east-region'){\n$('#north-east-region').addClass('active');\n}\n});\n</script>\n\n\n\n\n\n\n\n<div class=\"row sidebar\">\n  \n  </div>\n      </div>\n      <div class=\"col s12 m12 l9\">\n        <div class=\"row\" style=\"margin:0;\">\n\n          <div class=\"col s12 m12 l12\">       \n\t\t  <form class=\"membership-form\" method=\"post\" action=\"member_chk.php\" enctype=\"multipart/form-data\">\n\t\t  \n\t\t  <div class=\"row\">\n\t\t  <div class=\"col s12 m12 l12 heading\">\n            <h1>REGISTRATION-CUM-MEMBERSHIP CERTIFICATE</h1>\n          </div>\n\t\t  \t\t   \t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">Name of the exporter (M/s)*</label><input type=\"text\" name=\"owner_name\" value=\"\" placeholder=\"\"></div>\n\t\t  \n\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">IEC Number</label><input type=\"text\" name=\"iec_no\" value=\"\" placeholder=\"\"></div>\n\t\t  \n\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">Address of the Registered/Head Office</label><input type=\"text\" name=\"owner_add\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l6\"><label>Date of establishment</label><input type=\"date\" name=\"establish_date\" value=\"\" placeholder=\"\"></div>\n\t\t  \n\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Description of goods/ services for which registered</label><textarea rows=\"5\" name=\"goods\" placeholder=\"\"></textarea></div>\n\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">Registration  Number</label><input type=\"text\" name=\"reg_no\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l6\">\n\t\t  <p>Registered as: </p>\n\t\t  <div class=\"row\">\n\t\t  <div class=\"col s12 m12 l12\"><input type=\"radio\" value=\"Manufacturer exporter\" name=\"reg_as\"><label>Manufacturer exporter</label></div>\n\t\t  <div class=\"col s12 m12 l12\"><input type=\"radio\" value=\"Merchant exporter\" name=\"reg_as\"><label>Merchant exporter</label></div>\n\t\t  <div class=\"col s12 m12 l12\"><input type=\"radio\" value=\"Merchant cum manufacturer exporter\" name=\"reg_as\"><label>Merchant cum manufacturer exporter</label></div>\n\t\t  </div>\n\t\t  </div>\n\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Name of the Proprietor/ Partner(s)/ Director(s)/Karta</label><textarea rows=\"5\" name=\"proprietor\" placeholder=\"\"></textarea></div>\n\t\t  <div class=\"col s12 m12 l12\">\n\t\t  <p>This certificate is issued as per the details of our records and is subject to the conditions laid down in the relevant scheme of registration of this council.</p>\n\t\t  </div>\n\t\t  <div class=\" box-right\">\n             <div class=\"col s12 m12 l12\"><p>(Signature of the competentofficer of the E.P. Council)</p></div>\n\t\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Name</label><input type=\"text\" name=\"c_name\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Designation</label><input type=\"text\" name=\"c_desig\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l12\"><span>Seal </span><input type=\"file\" name=\"c_seal\" accept=\"image/*\"></div>\n\t\t  </div>\n\t\t\t<div class=\"col s12 m12 l6\"><label>Valid / renewed upto</label><input type=\"date\" name=\"renewed\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l6\"><label>Date of issue</label><input type=\"date\" name=\"issue_date\" value=\"\" placeholder=\"\"></div>\n\t\t  </div>\n\n\t\t  <div class=\"row\">\n\t\t  <div class=\"col s12 m12 l12 heading\" style=\"margin-top:20px;\">\n            <h1>APPLICATION FORM FOR REGISTRATION CUM MEMBERSHIP CERTIFICATE (RCMC)</h1>\n          </div>\n\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">To the (Name and Address of the Council) </label><input type=\"text\" name=\"to_council\" value=\"\" placeholder=\"\"></div>\n\t\t   <div class=\"col s12 m12 l6\"><label class=\"active\">Name of the applicant </label><input type=\"text\" name=\"app_name\" value=\"\" placeholder=\"\"></div>\n\t\t    <div class=\"col s12 m12 l12\"><label class=\"active\">Address of the applicant.(Registered Office in case of limited companies, and the head office for\nothers)</label><textarea rows=\"5\" name=\"app_add\" placeholder=\"\"></textarea></div>\n\n <div class=\"col s12 m12 l12\"><label class=\"active\">Name address of the branches, if any</label><textarea rows=\"5\" name=\"app_branch\" placeholder=\"\"></textarea></div>\n <div class=\"col s12 m12 l12\"><label class=\"active\">Name and address of the factory.</label><textarea rows=\"5\" name=\"app_factory\" placeholder=\"\"></textarea></div>\n \n  <div class=\"col s12 m12 l6\"><label class=\"active\">IEC number </label><input type=\"text\" name=\"iec\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l6\"><label>Date of issue </label><input type=\"date\" name=\"d_issue\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">Issuing authority</label><input type=\"text\" name=\"authority\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">Payment details</label><input type=\"text\" name=\"payment_details\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l12\">\n\t\t    <p>If registration is required as a manufacturer exporter (SSI Registration/ Industrial Licence/IEM )</p>\n\t\t  <div class=\"row\">\n\t\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">No.</label><input type=\"text\" name=\"manufacturer_no\" value=\"\" placeholder=\"\"></div>\n\t\t\t  <div class=\"col s12 m12 l6\"><label>Date</label><input type=\"date\" name=\"manufacturer_date\" value=\"\" placeholder=\"\"></div>\n\t\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">Issuing Authority: </label><input type=\"text\" name=\"manufacturer_iauth\" value=\"\" placeholder=\"\"></div>\n\t\t\t</div>\n\t\t  </div>\n\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Others (specify)</label><textarea rows=\"5\" name=\"manufacturer_other\" placeholder=\"\"></textarea></div>\n\t\t  <div class=\"col s12 m12 l12\">\n\t\t  <p>EH/TH/STH/SSTH/SHE/ISEH/ISSEH/ISSEH certificate number</p>\n\t\t  <div class=\"row\">\n\t\t\t  <div class=\"col s12 m12 l6\"><label>Valid upto </label><input type=\"date\" name=\"EH_valid\" value=\"\" placeholder=\"\"></div>\n\t\t\t</div>\n\t\t  </div>\n\t\t   <div class=\"col s12 m12 l12\">\n\t\t  <p>If Status Holder : (category)</p>\n\t\t  <div class=\"row\">\n\t\t\t\t  <div class=\"col s12 m12 l6\"><label class=\"active\">certificate number</label><input type=\"text\" name=\"cert_no\" value=\"\" placeholder=\"\"></div>\n\t\t\t\t   <div class=\"col s12 m12 l6\"><label>Valid upto   </label><input type=\"date\" name=\"valid_upto\" value=\"\" placeholder=\"\"></div>\n\t\t\t</div>\n\t\t  </div>\n\t\t   <div class=\"col s12 m12 l12\"><label class=\"active\">Name of export product(s) or its category for which registration is required</label><textarea rows=\"5\" name=\"export_name\" placeholder=\"\"></textarea></div>\n\t\t   <div class=\"col s12 m12 l12\"><label class=\"active\">Main line of business of applicant</label><input type=\"text\" name=\"app_business\" value=\"\" placeholder=\"\"></div>\n\n\t\t  <div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"info_correct\" value=\"true\" placeholder=\"\"><label>I hereby solemnly declare that the above stated information is true and correct and I undertake to abide by the FT (D&amp;R) Act, 1992 and the provisions under FTP.</label></div>\n\n\t\t<div class=\"col s12 m12 l12\">\n\t\t<p>I/We hereby solemnly declare that the above stated information is true and correct. I/We undertake, without any reservation, to:</p>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"term_chk\" value=\"true\" placeholder=\"\"><label>abide by the terms of the registration certificate granted to us on all our exports.</label></div>\n\t\t\t<div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"conduct_chk\" value=\"true\" placeholder=\"\"><label>agree to abide by any code of conduct that may be prescribed.</label></div>\n\t\t\t<div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"export_chk\" value=\"true\" placeholder=\"\"><label>agree to abide by export floor price condition that may be stipulated by the Registering Authority</label></div>\n\t\t\t<div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"furnish_chk\" value=\"true\" placeholder=\"\"><label>Furnish without fail monthly returns of exports including NIL returns to the Registering authority by 15th day of the months following the quarter.</label></div>\n\t\t</div>\n\t\t</div>\n\t\t<div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"understand_chk\" value=\"true\" placeholder=\"\"><label>We further understand that our registration is liable to be cancelled in the event of breach of any of the undertakings mentioned above.</label></div>\n\t\t<div class=\"col s12 m12 l12\"><input type=\"checkbox\" name=\"exp_promotion_chk\" value=\"true\" placeholder=\"\"><label>I solemnly declare that I have applied to the Export Promotion Council which pertains to our main line of business. In case I have applied to any other council, the application has been made within the purview of the provisions of Para 2.94 of the Handbook of Procedures.</label></div>\n\n\t\t<div class=\" box-right\">\n\t\t\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Place </label><input type=\"text\" name=\"place_form\" value=\"\" placeholder=\"\"></div>\n\t\t\t<div class=\"col s12 m12 l12\"><label>Date </label><input type=\"date\" name=\"date_form\" value=\"\" placeholder=\"\"></div>\n\t\t\t<div class=\"col s12 m12 l12\">\n\t\t\t<p>Yours faithfully,</p>\n\t\t\t</div>\n             <div class=\"col s12 m12 l12\"><label>(Signature)</label><input type=\"file\" name=\"signature_form\" accept=\"image/*\"></div>\n\t\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Name</label><input type=\"text\" name=\"name_form\" value=\"\" placeholder=\"\"></div><br>\n\t\t\t<div class=\"col s12 m12 l12\"><label class=\"active\">Address</label><input type=\"text\" name=\"add_form\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l12\"><label class=\"active\">Email*</label><input type=\"email\" name=\"email_form\" value=\"\" placeholder=\"\"></div>\n\t\t  <div class=\"col s12 m12 l12\"><span>Mobile*</span><input type=\"text\" name=\"mobile_form\" value=\"\" placeholder=\"\"></div>\n\t\t  </div>\n\t\t   <div class=\"col s12 m12 l12\"><span>A self certified copy of the IEC issued by the licensing authority concerned*. </span><input type=\"file\" name=\"license\"></div>\n\t\t   <div class=\"col s12 m12 l12\">\n\t\t   <label class=\"active\">Captcha*</label>\n\t\t  <img src=\"phpcaptcha/captcha.php\"> \n\t\t  <input type=\"text\" name=\"captcha\" value=\"\" placeholder=\"Enter the code\" required=\"\">\n\t\t  </div>\n\t\t  <div class=\"col s12 m12 l12\"><input type=\"submit\" value=\"SUBMIT\"></div>\n\t\t  </div>\n\t\t  </form>\n\t\t  </div>\n      </div>\n    </div>\n  </div>\n</div>\n</div>\n<footer class=\"page-footer\">\n  <div class=\"container\">\n  <a href=\"http://india.gov.in/\" target=\"_blank\"><img class=\"ind_gov_logo\" src=\"images/india-gov.png\"></a>\n    <ul class=\"footer_menu\">\n      <li><a href=\"index.php\"><i class=\"fa fa-home\"></i>Home</a></li>\n\t  <li><a href=\"enquiry.php\">Trade Enquiry</a></li>\n      <li><a href=\"privacy.php\">Privacy policy</a></li>\n      <li><a href=\"disclaimer.php\">Disclaimer</a></li>\n      <li><a href=\"sitemap.php\">Sitemap</a></li>\n      <li><a href=\"contact.php\">Contact Us</a></li>\n    </ul>\n  </div>\n  <div class=\"footer-copyright\">\n    <div class=\"container\"> Copyright © 2014. All Rights Reserved by Shellac and Forest Products Export Promotion Council </div>\n  </div>\n</footer>\n<!--  Scripts-->\n<script src=\"https://code.jquery.com/jquery-2.1.1.min.js?version=2\"></script>\n<script src=\"js/framework.js?version=2\"></script>\n<script src=\"js/init.js?version=2\"></script><div class=\"drag-target\" data-sidenav=\"nav-mobile\" style=\"right: 0px; touch-action: pan-y; -webkit-user-drag: none; -webkit-tap-highlight-color: rgba(0, 0, 0, 0);\"></div>\n<script src=\"js/flickity-docs.min.js?version=2\"></script>\n<script>\n//Menu Anchor\n$(\".openpanelmenu\").click(function(){\n\t$(\".pannel\").toggle();\n\t$('html,body').animate({scrollTop: $(\".pannel\").offset().top - 50},'slow');\n\n}); \t\n$(document).click(function(e) {\n\tif (!$(e.target).parents().andSelf().is('.pannel, .openpanelmenu')) {\n\t\t$(\".pannel\").hide();\n\t}\n});\n</script>\n<script>\n\n//Alt Tag Js\n$(document).ready(function() {\n  $('img').each(function(){\n    var $img = $(this);\n    var filename = $img.attr('src')\n\tvar attr = $(this).attr('alt');\n    if (typeof attr == typeof undefined || attr == false) {\n   $img.attr('alt', filename.substring((filename.lastIndexOf('/'))+1, filename.lastIndexOf('.')));\n    \n  });\n});\n</script>\n<script defer=\"\" src=\"https://static.cloudflareinsights.com/beacon.min.js/vcd15cbe7772f49c399c6a5babf22c1241717689176015\" integrity=\"sha512-ZpsOmlRQV6y907TI0dKBHq9Md29nnaEIPlkf84rnaERnq6zvWvPUqr2ft8M1aS28oN72PdrCzSjY4U6VaAw1EQ==\" data-cf-beacon=\"{&quot;version&quot;:&quot;2024.11.0&quot;,&quot;token&quot;:&quot;0d1bb29e3b8540aa9a9830d03a72e54d&quot;,&quot;r&quot;:1,&quot;server_timing&quot;:{&quot;name&quot;:{&quot;cfCacheStatus&quot;:true,&quot;cfEdge&quot;:true,&quot;cfExtPri&quot;:true,&quot;cfL4&quot;:true,&quot;cfOrigin&quot;:true,&quot;cfSpeedBrain&quot;:true},&quot;location_startswith&quot;:null}}\" crossorigin=\"anonymous\"></script>\n\n<div class=\"hiddendiv common\"></div></body></html>"
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