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ATA Carnet Application Form

Processing Type :

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Carent Handling :

Represented / Holder Name :

Email Id :

Firm Name & Address :

Contact No. :

Fax :

List of Authorized Representatives :

Please indicate the number of VISITS being made to each country and those countries being crossed in TRANSIT.

	Visit / Transit	Country	No. of Visit

Requirement of Carnet Period (select as appropriate) :

One Year

6 Months

3 Months

Less than 3 Months

INTENDED USE OF the Carnet under the following categories ONLY (select as appropriate) :

	Commercial Samples	International Trade Fair / Exhibition	Professional Equipment
	Intended Use