Vihaan Chemie Pharm 27/14, Malaygiri BLDG, Navare Nagar, B Cabin Road, Ambarnath (East), Thane Maharashtra 4 2 1 5 0 1

ANF 2A
Application Form for Issue / Modification in Importer Exporter Code Number (IEC)
Part A
To be filled by the Issuing Authority
IEC Details
i. IEC Number
ii. Date of Issue
iii. Issuing Authority
To be filled by the applicants
Un-attested Photograph
of the applicant.
Identical photograph
should be used on the
Bank Certificate.
Note : Please state Not Applicable wherever the information / data is not applicable to you.
Fields marked * are optional. All others are mandatory
1.
i. Name:
Applicant Details
VIHAAN CHEMIE PHARM
ii. Address:
Flat/Plot/Block No.: 27/14, MALAYGIRI BLDG,
(Registered
Office Address is Street/Area/Locality: NAVARE NAGAR, B CABIN ROAD,
required in case
of
Companies. City:
AMBARNATH (EAST), THANE
Head
Office
Address
is State:
PIN Code
MAHARASHTRA
4
2 1 5 0
required for all
other categories)
iii. For endorsing Addresses of Branches, Divisions, Units, Factories located in India & abroad, please
attach extra sheet if require. However, please use the same address format as specified above]
iv. Telephone /
Area Code along with Telephone/Fax No.
Fax Nos.
Landline (1): 91
8
3
9
0
7
Landline (2)*:
Fax No.*:
v. Email ID /
Website
Address:
Email ID: For correspondence with DGFT
Alternate Email ID:*
vihaanchemie@gmail.com
prashuh284@gmail.com
Website Address:* (if any)
-NA-
vi. Full Name,

First Name
Designation and
PRASHANT
Mobile Number
of the Signatory
Designation:
(Signatorys
Mobile Number:
photograph is to
be affixed on the
Bank
Certificate).
Middle Name
Last Name
RAMCHANDRA
PROPRIETOR
8 3 9
0
DINGANKAR
7
Note 1: When the name of an individual is required to be filled up, full name (in the order - First name, Middle
name and Surname should be filled up as far as possible, without using any abbreviations.
For example, please fill up the full name - ANIL KUMAR SINGH (instead of abbreviated forms like ANIL K
SINGH; ANIL SINGH; A.K.SINGH; A KUMARSINGH; A.KUMAR SINGH; ANILSINGH; ANILKUMAR SINGH etc.)
This note applies to the entire ANF, particularly to Sr. No. 2 so that wherever the name / fathers name are
required to be filled up, they are filled up correctly.
2. Details of Proprietor / Partners / Directors / Karta / Trustee
of the applicant firm (attach extra sheet if required)
Total Number of Partners / Directors / Karta / Trustee
in the applicant firm
Following information may be provided for each Proprietor / Partners / Directors / Karta / Trustee of the
applicant firm
i. Name: PRASHANT RAMCHANDRA DINGANKAR
ii Fathers Name: RAMCHANDRA BABAJI DINGANKAR
iii. Residential Address: 27/14, MALAYGIRI BLDG, NAVARE NAGAR, B CABIN ROAD, AMBARNATH(E)- 421501
iv. Telephone
i. Name
ii Fathers Name
iii. Residential Address
iv. Telephone
3. Nature of Concern (please tick)
i. Government Undertaking
ii. Public Limited Company
iii. Private Limited Company
iv. Proprietorship
v. Partnership
vi. Others
4. Type of Exporter (please tick)

i. Merchant Exporter
ii. Manufacturer Exporter
iii. Service Provider
iv. Others (please specify)
v. Merchant cum Manufacturer
5. Bank Account Details

i. Name of the Bank: IDBI BANK
ii. Address of the Bank: PANVELKAR PLAZA, STATION ROAD, AMBARNATH EAST, THANE-421501
iii. Type of Bank Account : CURRENT A/C

iv. Bank Account Number : 0457102000006811
v. Year of opening Bank Account : 2016
6.
i. PAN Number:
(Alphanumeric Field
Size 10)
ii. PAN Issuing Authority:
PAN Details:
iii. Name as appearing

on the PAN Card:
iv. Date as mentioned on
PAN Card:
v. Fathers Name in
case of PAN allotted to
Individuals
INCOME TAX DEPT

PRASHANT RAMCHANDRA DINGANKAR
Date of Birth for Individuals
Date of Incorporation for all other

categories (Trusts/ HUFs / Firms / LLPs
/ Companies etc.)
2 8
0
8
1
9
8
4
RAMCHANDRA BABAJI DINGANKAR
7. Application Fee Details

Amount (Rs)
Demand Draft
Date of Issue
Name of the Bank and its Branch on which drawn
Place :
Date:
Signature:
Name: PRASHANT RAMCHANDRA DINGANKAR
Designation: PROPRIETOR
Official Address & Tele No: 27/14, MALAGIRI BLDG,
NAVARE NAGAR, B CABIN ROAD, AMBARNATH (EAST)
421501, THANE, MAHARASHTRA
MOB 8390789524
Residential Address: 27/14, MALAGIRI BLDG, NAVARE
NAGAR, B CABIN ROAD, AMBARNATH (EAST)
MOB 8390789524
Email Address: vihaanchemie@gmail.com
Part C
For Modification of Import Export Code Number
IEC Number1- Details of Modification

SN
Details of Modification required

Modification required
Existing details
Modification-1
Modification- 2
Modification- 3
2. Documents to be submitted in support of the claim

a. In case of Proprietorship firms, please furnish documentary evidence regarding
i. Date of Birth of individual
ii. Number of IECs held along with their details
b. In case of Companies, please furnish documentary evidence regarding
i. Date of incorporation
c. In case of others
i. Date of formation
Place:
Date:
Signature:
MOB 8390789524
MOB 8390789524
PART D DECLARATION /
UNDERTAKING
1. I/We hereby declare that the particulars and the statements made in this application are true and correct to the best of
my/our knowledge and belief and nothing has been concealed or held there from.
2. I/We fully understand that any information furnished in the application if found incorrect or false will render me/us liable
for any penal action or other consequences as may be prescribed in law or otherwise warranted.
3. I/We undertake to abide by the provisions of the Foreign Trade (Development and Regulation) Act, 1992, the Rules
and Orders framed there under, the Foreign Trade Policy, the Handbook of Procedures and the ITC (HS) Classification of
Export & Import Items.
4.
a. I/We hereby certify that the firm / company for whom the application has been made has not been penalized under
the Customs Act, Excise Act, Foreign Trade (Development & Regulation) Act 1992 and FERA / FEMA.
b. I/We hereby certify that none of the Proprietor / Partner(s) / Director(s) / Karta / Trustee of the firm / company, as the
case may be, is/are a Proprietor / Partner(s) / Director(s) / Karta / Trustee in any other firm / Company
which(i) has come to the adverse notice of DGFT, (ii) is in the caution list of RBI.
c. I/We hereby certify that neither the Registered Office / Head Office of the firm / company nor any of its Branch
Office(s)/ Unit(s)/ Division(s) has been declared a defaulter and has otherwise been made ineligible for
undertaking import / export under any of the provisions of the Policy.
5-NRI interest in the firm Kindly tick one of the following :
(i) There is no non-resident interest in the firm / company and no non resident investment with or without
repatriation benefits has been made in the firm / company; or
(ii) There is non-resident interest in the firm / company and non resident investment without repatriation
benefits in the firm / company is held with the general / specific permission of RBI; or
(iii) There is non-resident interest in the firm / company and non-resident investment with repatriation
benefits in the firm / company is held with the specific permission of RBI.
In case of NRI interest / holding with repatriation benefits in the firm / company, please furnish
i. RBI Approval Number
ii. RBI Approval Date
6. I/We hereby declare that I/We have not obtained nor applied for issuance of an Importer Exporter Code Number in the
name of our Registered / Head Office or any of our Branch(s) / Units(s) / Division(s) to any other Licensing Authority.
7. I hereby certify that I am authorized to verify and sign this declaration as per Paragraph 9.9 of the Policy.
Place :
Date:
Signature:
MOB 8390789524
MOB 8390789524

Vihaan Chemie Pharm 27/14, Malaygiri BLDG, Navare Nagar, B Cabin Road, Ambarnath (East), Thane Maharashtra 4 2 1 5 0 1

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Vihaan Chemie Pharm 27/14, Malaygiri BLDG, Navare Nagar, B Cabin Road, Ambarnath (East), Thane Maharashtra 4 2 1 5 0 1

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ANF 2A

VIHAAN CHEMIE PHARM

Email ID: For correspondence with DGFT

Alternate Email ID:*

Website Address:* (if any)

vi. Full Name,

4. Type of Exporter (please tick)

5. Bank Account Details

iii. Type of Bank Account : CURRENT A/C

iii. Name as appearing

INCOME TAX DEPT

Date of Incorporation for all other

7. Application Fee Details

IEC Number1- Details of Modification

Details of Modification required

2. Documents to be submitted in support of the claim

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