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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
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]
Section B
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
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
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
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)
Total Area of the factory
SL
Length ( ft )
Width ( ft )
Area (Sq-ft )
Raw Materials Warehouse:
SL
Length ( ft )
Width ( ft )
Height ( ft )
Volume (Cubic-ft )
Finished Goods Warehouse (If Applicable):
SL
Length ( ft )
Width ( ft )
Height ( ft )
Volume (Cubic-ft )
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)
Installed Machineries Information
25a. Description of the Machineries:
Section D
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)
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)
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)
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
Information of associate business (applicable for all Directors/partners)
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)
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