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    Agent Application Form

    Uploaded by

    Manish Shrestha
    This document provides details about a firm or company applying to become an agent of IME Ltd. It requests information such as the firm/company name, registration number, PAN number, address, contact details, infrastructure, document checklist, other agent transaction details if applicable, proposed cover fund/guarantee, and declaration. The applicant must provide required documents and agrees to comply with IME rules and guidelines if appointed as a sub-agent.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Agent Application Form

    Uploaded by

    Manish Shrestha
    24 views4 pages
    This document provides details about a firm or company applying to become an agent of IME Ltd. It requests information such as the firm/company name, registration number, PAN number, address, contact details, infrastructure, document checklist, other agent transaction details if applicable, proposed cover fund/guarantee, and declaration. The applicant must provide required documents and agrees to comply with IME rules and guidelines if appointed as a sub-agent.

    Original Description:

    Ok

    Original Title

    Agent application form (2) (1)

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    This document provides details about a firm or company applying to become an agent of IME Ltd. It requests information such as the firm/company name, registration number, PAN number, address, contact details, infrastructure, document checklist, other agent transaction details if applicable, proposed cover fund/guarantee, and declaration. The applicant must provide required documents and agrees to comply with IME rules and guidelines if appointed as a sub-agent.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views4 pages

    Agent Application Form

    Uploaded by

    Manish Shrestha
    This document provides details about a firm or company applying to become an agent of IME Ltd. It requests information such as the firm/company name, registration number, PAN number, address, contact details, infrastructure, document checklist, other agent transaction details if applicable, proposed cover fund/guarantee, and declaration. The applicant must provide required documents and agrees to comply with IME rules and guidelines if appointed as a sub-agent.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Firm/Company Details:

    General Information
    Firm/Company Name -kmd{ / sDkgL Registration Date of Incorporation Paid-Up
    gfd_ Number -btf{ ldlt_ Capital-r'Qmf
    -btf{ g+_ k"FhL_

    PAN Number

    Type -k|sf/_

    Industry Type

    Stamp:
    Business Address-Jofkfl/s 7]ufgf_

    Address of Principal Place of Business

    Registered Office Address (if Different From


    Principal Address)

    Fax Number (if Applicable)

    Email Address

    Mobile Number

    Telephone Number

    Distance from the Nearest IME Agent

    Distance from the Nearest Bank

    Contact Person Detail (Manager/Director)

    Full Name Position Valid Government Issued ID card

    ID Type ID Number

    Basic Infrastructures -cfwf/e"t ef}lts k"jf{wf/_ (Please , if available)

    Computer

    Telephone/Fax Machine

    Internet Facility

    Scanner

    Office Space

    Office Location (floor)


    Stamp:

    Document Checklist (to be submitted together with Application Form)


    Memorandum and Article of Association Citizenship or Valid Government Issued ID
    (Companies) cards of Directors (Companies)/ Citizenship or
    Valid Government Issued ID card of Owner
    Partnership Deed/Authority letter (Firm)

    Last 6 Months' Bank Statement Updated Financial Report (Tax Clearance)


    (Firm/Company's Account)
    For Company – Updated Letter from OCR
    -cWofjlws kq_

    Directors Resolution (written decision Certificate of Incorporation/Registration


    mentioning agreement from board members Certificate/PAN
    for processing application to be appointed as
    an agent of IME Ltd. along with authorized
    person, delegated for the same)

    For Company :
    Share Allotment Details
    Director/Manager Detail (as per prescribed
    format)

    Other Additional Information (If applicant is already an agent of other MTCs)


    Last Month Transaction
    S.N Name of MTC
    Domestic Send Domestic Paid International Paid

    1        
    2        
    3        
    4        
    5        
    6        

    7        
    Stamp:

    Cover Fund/Guarantee (Please Select)

    Type Amount
    Cash
     
    Bank  

    Declaration
    I/we hereby confirm that the above furnished information is true and correct.
    I/we agree to comply with the rules and guidelines set by IME after being appointed as sub-agent of IME
    All required documents are enclosed herewith.

    Acknowledgement

    Signed on behalf of ………………………………………………………………… (Company)

    Signature………………………………………

    Full Name…………………………………………

    Position………………………………………………

    Date……………………………………………

    Stamp ……………………………………………

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