Bond License Application Form

Page 1 of 7 BOND LICENSE APPLICATION FORM Section A 1. Name of the Manufacturing Unit 2. Address of the Manufacturing Unit Holding No. Road No. Area/Village Mowja Union Upazila District Police station Ward City Corporation/Powrashova Phone/PABX no Fax no. Mobile no E-mail 3. Name of the Head Office 4. Address of the Head Office Holding No. Road No. Area/Village Mowja Union Upazila District Police station Ward City Corporation/Powrashova Phone/PABX no Fax no. Mobile no E-mail 5. Manufacturing Unit Premises [Please tick] 5a. Hired Deed no, if any Date CS Dag No Exp. RS Dag No Owned Dalil no, if any Date CS Dag No RS Dag No Page 2 of 7 5b.Whether there was any other bonded factory before at the same premises Yes No If Yes, Bond License No., if any 6. Type of Bond [Please tick] Special Bonded Warehouse Private Bonded Warehouse Subcategories Direct Supervised Bond Direct & Deemed Home Consumption Bond Continuous Bond Export processing Zone Privileged/Diplomatic Bond Continuous Bond Commissariat Deemed Direct Direct & Deemed 7. Category of Bond [Please tick] A (100% Foreign investment) B (Both Local & Foreign investment) C (100% Local investment) Number Date 8. TIN Issue 9. BOI / BSCIC Reg. no. Issue 10. ERC no. Issue Exp. 11. IRC no. Issue Exp. 12. VAT Reg. no. (BIN) Issue 13. Trade License no. Issue Exp. 14. Fire License no. Date Exp 15. Enrolment (if any): a. Enrolled with [tick] BGMEA BKMEA BLMEA BGAPMEA BPGMEA Other (specify): b. Membership no Issue Exp. 16. Environmental Certificate no (If Applicable) Issue Exp. 17. Lien Bank Code Name Branch Address Fax Solvency certificate issuing bank [please tick] Page 3 of 7 Section B 18. Owner’s Information Ownership Category [tick]: Proprietorship Partnership Private Limited Public Limited Name of Proprietor/Chairman or MD/ Managing Partner Father/Husband’s Name TIN Date Present Address Permanent Address Residence Phone no. Mobile no. Passport no. (if any) Date Place of Issue of passport, if any National ID No (For Bangladeshi) Signature and Photo Put your signature here Attach one copy passport size recent photograph 19. Director's/Partner's Information (for Limited/Partnership Company) Name Father/Husband’s Name TIN Date Present Address Permanent Address Residence Phone no. Mobile no. Passport no. (if any) Date Page 4 of 7 Place of Issue of passport, if any National ID No (For Bangladeshi) Signature and Photo Put your signature here Attach one copy passport size recent photograph (Please use separate sheet if needed) Section C 20. Manufactured Goods Information Description of Goods to be manufactured (as per the reg. No. of BOI/BSCIC/.................................) Sl. No. HS Code Commercial Description (Please use separate sheet if needed) 21. Total Area of the factory SL Length ( ft ) Width ( ft ) Area (Sq-ft ) 22. Raw Materials Warehouse: SL Length ( ft ) Width ( ft ) Height ( ft ) Volume (Cubic-ft ) 23. Finished Goods Warehouse (If Applicable): SL Length ( ft ) Width ( ft ) Height ( ft ) Volume (Cubic-ft ) 24. Raw Materials Information: Description of Raw Materials and Accessories (if applicable) as per the installed machineries: Sl. No. HS Code Commercial Description (Please use separate sheet if needed) Page 5 of 7 Section D 25. Installed Machineries Information 25a. Description of the Machineries: a. Description b. Brand Name c. Model No. d. Manufacturing Year e. Country Of Origin f. Date Of Installation g. B/E No or VAT Challan No. Date h. BL No. Date i. Invoice No. Date j. LC No. Date k. No. of Machines (Please use separate sheet if needed) 25b. Product wise mother and auxiliary machineries and total production capacity: Sl HS Code of the Product to be produced Commercial description of the Product to be produced Mother Machine’s Description Quantity/No. of mother machine of this type Auxiliary Machines’ Descriptions Annual Total Production Capacity of the Mother Machine Unit a. 1. 2. 3. 4. 5. b. 1. 2. 3. 4. 5. c. 1. 2. 3. 4. 5. (Please use separate sheet if needed) 26. Indemnity Bond/Undertaking for import of Machineries (if any) 26a. Particulars of Importation for installed machineries: SL no B/E no Date Indemnity / Undertaking No Date Cash Memo /Challan/Voucher no Date Due date of release Actual date of release (Please use separate sheet if needed) Page 6 of 7 26b. If it is purchased from other bonded factory (after release of indemnity bond/Undertaking by importer) SL Clearance certificate No (From the BOI /BSCIC/………) Date Permission from Bond authority Date Transferor lien bank NOC no Date Bank Code Bank Name Bank Address (Please use separate sheet if needed) 27. Annual Import/local purchase Entitlement for raw materials: SL HSCODE Description of the commodities Specification/ Grade Quantity Unit (Please use separate sheet if needed) Section E 28. Information of associate business (applicable for all Directors/partners) Page 7 of 7 a. Name of the person who is doing the associate business b. TIN of that person C NID of that person d. Name of the associate business e. Address of the associate business f. BIN of the associate business g. TIN of the associate business h. Nature of the associate business i. Position of that person in associate business j. Share of that person in associate business (Please use separate sheet if needed) 29. Information about authorized signatory Name of the authorized signatory Signature of the authorized signatory Photograph (one copy) 30. DECLARATION (by Chairman/MD/Proprietor/Sole Partner) I declare that the particulars supplied by me in this application are correct and true in every respect. Name (in BLOCK letters) Signature and seal Designation of signatory Date