MUNDRA CUSTOM BROKER  ASSOCIATION
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Membership Registration Form

Who Should Join MCBA?

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Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley.

Company Detail's
Registration Type*
Main OfficeBranch Office
Company Name*
Type of Company*
Authorize Person Name*
Designation*
Authorized Person Email *
( This would be your default USERNAME
for MCBA login )
Authorized Person photo*
(Passport size image only
130px X 120px )
G Card Copy*
Reg Office room/flat no *
Reg Office Building/House name *
Reg Office Road name *
Reg Office Area/locality *
Reg Office Pincode*
Check this box if Correspondence Address and Register Address are the same.

Correspondence room/flat no *
Correspondence Building/House name *
Correspondence office Road name *
Correspondence office Area/locality *
Correspondence Office Pincode*

Landline *
(mention city code followed by telephone.
for eg. 912266331234)
Alternative Landline
(mention city code followed by telephone.
for eg. 912266331234)
Mobile Number*
(mention only 10 digit N0.
for eg. 9820098200)
Alternative Mobile Number
(mention only 10 digit N0.
for eg. 9820098200)
Alternative Email Id
Fax Number
(mention city code followed by FAX number.
for eg. 912266331234)
Website Address
( for eg. http://www.bchaa.com )
Numbers of Employee with Custom passes.*
Numbers of Employee without Custom passes.*
Old CHA No (Registration Number given by local custom House)*
New CHA PAN Based No*
Eg : AACCN3255BCH321
GST No.
New CHA License Validity *
Clear Date
Parent Licence
Licence copy*
Aadhar card of license owner*
Pan card*
Address proof*
GST copy*
F Card Copy*
Custom House*
 MUNDRA
Parent Custom Station*
Member of Association
 FFFAI
 FIEO
 MANSA
 FIATA
 CSLA
 ACAAI
 AMTOI
 CAI
 GCCI
 
 
 
 

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