KYC (Know Your Customer) Form
As required and mandated by Indian customs vide CBEC Circulars, 09/2010, 33/2010 and 07/2015 for
identification/verification of importers/exporters for customs clearance performed on their behalf by FedEx
acting as an Authorized Courier/CHAs directly or through a CHA appointed by FedEx on behalf of the
Customer. Please attach additional sheets if required.
1.
Category
2.
Name of the Individual / Proprietary
firm/Company/Trusts/Foundations/ Partnership
firm (name of all partners)
3.
FedEx Account No:
4.
Permanent or Registered address of the
Individual/Proprietary firm/Partnership firm and
partners/Company/Trusts/Foundations
Individual/Proprietary firm
Company
Trusts/Foundations
Partnership firm
Passport Size Photograph
of Individual / Attach
photograph of the
Authorized Signatory for
Proprietary firm/
Partnership firm/Trust
and Company
Telephone:
Fax number:
5.
Principal Business address/es from which business
is transacted of the Individual/Proprietary
firm/Company/Trusts/Foundations/Partnership
firm
Telephone:
Fax number:
E-mail address:
Website:
6.
Name of Authorized signatory/ies for signing
import/export documents including manual Air
Waybills. Please provide recent passport size self
attested photographs of each signatory
7.
IEC No.
Copy Attached
8.
PAN No.
Copy Attached
9.
TAN No.
Copy Attached
I/We hereby declare that the particulars given herein above are true, correct and complete to the best of my/our knowledge and
belief, the documents submitted in support of this Form KYC are genuine and obtained legally from the respective issuing
authority. In case of any change in any of the aforementioned particulars, I/we undertake to notify you in writing failing which
the above particulars may be relied upon including all shipments/documents executed and tendered by the individual so
authorized and mentioned in 6 above. I/We hereby authorize you to submit the above particulars to the customs and other
regulatory authorities on my/our behalf as may be required in order to transport and customs clear my/our shipments.
Place
Date
Signature
Name
_____________________________
_____________________________
Official Seal (for all other than individuals)
KYC form (December 2015)
Check List
Sr.No.
1.
Category
Individual/Proprietary firm
Documents Required
Passport
PAN card
Voters card
Driving license
Bank statement
Ration card
Aadhar card
To verify identity and address proof
Certificate of Incorporation
Memorandum and Articles of Association
Telephone bill in the name of the Company
PAN card
To verify authority granted to signatory
Power of Attorney granted to its managers, officers or employees to transact
business on its behalf
2.
Company
3.
Trusts/Foundations
To verify identity and address proof
Certificate of registration, if registered
PAN card
Telephone bill in the name of Trusts/Foundations
To verify authority granted to signatory
Power of Attorney (POA) granted to transact business on its behalf
Any officially valid document to identify the trustees, settlers, beneficiaries and
those holding the PoA, founders/managers/directors and their addresses
Resolution of the managing body of the foundation/association
4.
Partnership firm
To verify identity and address proof
Registration certificate, if registered
Partnership deed
PAN card
Telephone bill in the name of firm/partners
To verify authority granted to signatory
Power of Attorney(POA) granted to a partner or an employee to transact business
on its behalf
Any officially valid document identifying the partners and the person holding the
POA and their addresses
Please provide:
a) Any two documents (certified by individual/authorised signatory) as mentioned above in the check list to verify the
identity and address proof.
b) Any one document (certified by authorised signatory) as mentioned above in the check list to verify authority granted to
signatory.
c) Two photographs of individual/authorised signatory.
d) Copy of IEC for opening international accounts.
e) Copy of TAN
f)
Copy of PAN card
I/We hereby declare that the particulars and documents attached as per the checklist above are true, correct and complete to the
best of my/our knowledge and belief, the documents submitted in support of this Form KYC are genuine and obtained legally
from the respective issuing authority. In case of any change in any of the aforementioned particulars, I/we undertake to notify
you in writing failing which the above particulars may be relied upon including all shipments/documents executed and tendered
by the individual so authorized and mentioned above. I/We hereby authorize you to submit the above particulars to the customs
and other regulatory authorities on my/our behalf as may be required in order to transport and customs clear my/our shipments.
Place
Signature
Date
Name
_____________________________
_____________________________
Official Seal (for all other than individuals)
KYC form (December 2015)
