FORM – H

[see regulation 19(6)(iii)]

Valid upto………………….

Photo

Identity-cum-Authority Card

Shri …………………. of ….………………having been registered in the books of this office as Clerk of Shri/Sarvashri/M/s……………………..……… (C.H.A. Licence No… ……………), for assisting the Custom House Agent or his authorized employee(s).

Specimen Signature of Clerks……………… Agent ……………. Customs Station.

Dated the……………………200

(Photo to be supplied by the Agent)

Signature of the Deputy Commissioner/Assistant Commissioner of Customs

(With seal)