Guntur Container Terminal - Accreditation Form

ACCREDITATION FORM

For non-governmental organizations

Clients wishing to be associated with Inland Container Depot Marripalem Guntur District maintained by M/s Leaap International Private Limited Guntur should submit this form for the first time of using facilities in ICD.
(This form should be filled out in ENGLISH)

Full Name *

Please enter your full name.

Name of the Organisation *

Please enter your organisation name.

Mailing Address *

Please enter your mailing address.

Country *

Telephone number(s) *

Please enter a valid telephone number (digits and hyphens only).

Fax Number(s)

Please enter a valid fax number (digits and hyphens only).

E-mail *

Please enter a valid email address.

Website *

Please enter a valid website URL (starting with https://).

Legal status *

Please specify the legal status.

Year established *

Please enter a valid year.

Pan Based CHA Licence No with Validity or IEC No issued by JDGFT *

Please provide your CHA Licence / IEC No.

Type of Company *

Please mention your company type.

Brief Summary of the purpose and activities *

Please provide a brief summary.

Request of Service at ICD *

Please specify your request of service.

List of Customers whose cargo to be handled *

Please input list your customers.

Name of the person intending to transact *

Please input intending person’s name to transact.

To complete your accreditation, send this form to the Manager – EDP, Leaap International Private Limited, ICD Marripalem Guntur, with copies of the following documents:

Self Certified Company Registration Certificate.
Self Certified Copy of CHA Licence / Importer Exporter Code.

Thank you for applying for accreditation to Guntur Container Terminal