Format of Application for Issuing Form C to Applicant
IN THE COURT OF _____
_____ Versus _____
APPLICATION FOR ISSUING FORM “C’ FOR _____/- TO THE APPLICANT/PETITIONR
I, _____ son of _____, resident of _____, District _____, do hereby solemnly affirm and declare as under:-
1- That I have moved the above noted application for issuing form “C” for _____/-.
2- That the deponent spent an amount of _____/- after borrowing the amount from his relatives and friends on the credit basis @ __% per month.
3- That now the deponent has to repay the loan amount along with interest very urgently and hence the entire amount of award be released to the deponent.
Verified that the contents of my above affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Verified at _____on _____
Application for issuing a form “C’ for _____/- to the applicant/petitioner who are the _____ S/o _____
1- That the above noted execution petition is pending before the Hon’ble court and is fixed for _____.
2- That the applicants filed the appeal before the Hon’ble court of _____ and the amount of _____/- was enhanced by the Hon’ble court of _____ vide order dated _____.
3- That the _____ company has deposited the enhanced amount of award before this Hon’ble court.
4- That petitioner _____ has been _____ and the applicant moved an application for _____ and the same has been allowed.
5- That now the applicant/petitioners want to withdraw the said amount from this Hon’ble court _____.
It is, therefore, prayed that the Form “C” for _____/- may kindly be issued in favour of the applicants/petitioners
Format of Bank Certificate for Issue of Import Export Code
Appendix 18 A
Format of Bank Certificate for issue of IEC (Import Export Code)
(To be Issued on the official letter head of the Bank)
Reference Number: __________
(Name and Address of the Licensing Authority)
We certify that M/s ___________(Private Limited/Partnership/Proprietor/Firm) (Name and Address of the Applicant) are maintaining Savings Bank Account/ Current Account No. _________ with our Bank ___________ since _____________
(Signature of the Banker)
Form of Declaration to be filed by a person who does not have either a Permanent Account Number or General Index Register Number and who makes payment in cash in respect of transactions specified in clauses (a) to (h) of rule 114B
1. Full name and address of the declarant _____________________________
2. Particulars of transaction: __________
3. Amount of the transaction: __________
4. Are you assessed to tax? Yes/No
5. If yes,
i. Details of Ward/Circle/Range where the last return of Income was filed?
ii. Reasons for not having Permanent Account Number/ General Index Register Number
6. Details of the document being produced in support of address in Column(1) ______________________________________________________
I, __________________ do hereby declare that what is stated above is true to the best of my knowledge and belief.
Verified today, the _______________ day of ___________Year ________
Signature of the Declarant
Instructions: Documents which can be produced in support of the address are:-
i. Ration Card
iii. Driving license
iv. Identity Card issued by any institution
v. Copy of the electricity bill or telephone bill showing residential address
vi. Any document or communication issued by any authority or Central
vii. Government, State Government or local bodies showing residential address
viii. Any other documentary evidence in support of his address given on the declaration.
Scope of work:
Mode of Payment: Cash /CDC /PDC /LOC /TT
Corporate Credit Application Form from the customer is available with Accounts – Yes / No
The Superintendent of Police,
District Police Office,
Subject: Application for issuance of PCC
It is requested that a Police Clearance Certificate may be issued to me for visa/immigration purpose. My personal particulars are as follows:
Full Name : _________
Sex : _________
Previous Name : _________
Date of Birth : _________
Occupation : _________
Father (Full Name) : _________
Mother (Full Name) : _________
Spouse (Full Name) : _________
Permanent Address : _________.
Present Address : House _________.
Residing at current address since: _________
Passport No.: _________ Date of issue: _________ Valid till: _________
Passport issued by: Regional Passport Officer _________
Country for which Visa/Immigration has been applied: _________
It is further stated that I am a citizen of _________ and have not been involved in any criminal case in _________ and that there is no criminal case pending against me in the Court of Law.