Application form for issue or renewal of stevedoring and shore handling license under the New Mangalore Port Authority
(licensing of stevedoring and shore handling) regulation, 2019
Name of the applicant:
Whether a company registered under Companies Act or a partnership firm or any other legal entity(Article of partnership /company to be attached)
Contact Details of Applicant
Address for Communication:
Applicant's PAN No. or TIN No.
Applicant's GSTIN No.
Contact number of applicant
Name of the person to be contacted
mobile No. contact person
E-mail of the applicant
fax No. of the applicant
Period for which licence is required
From (dd/mon/yyyy) :
To (dd/mon/yyyy) :
Details of Streamship Company / Charterer of Ships/ Owner of Cargo
Names of the Streamship Company / Charterer of Ships/ Owner of Cargo with whom the contract for stevedoring their vessel / cargo subsists or is proposed to be entered (Proof of contract for the period covered is to be appended. The approximate tonnage for each party is to be indicated)
Names of the Streamship Company
Roof of contract
Expected Tonnage
Previous THREE years of experience in the field of stevedoring
Previous experience in stevedoring activities and shore handling activities
Enclose proof of the cargo and tonnage handled in the previous three years
Financial capability of Applicant
Whether the applicant has financial capability to meet any obligation that may arise on account of payment of compensation under the Employee's Compensation Act, 1923
yes
no
Enclose solvency certificate for rupees ten lakhs from the banker to show financial capabilities (Original Solvency certificate must be Couriered to NMPT ).
Enclose proof of income tax returns of previous three years .
Eligibility details of Applicant
Whether the applicant possesses equipment and gears required for Stevedoring activities and shore handling activities (enclose list of equipment and gears with safety certificate)
List of Equipment and gears
Safety Certificate
Whether the applicant has employed or is willing to give an undertaking to employ at least six supervisory personnel possessing minimum two years' of experience in cargo handling and stowage required for undertaking the stevedoring activities and shore handling activities (enclose list of employees, their detailed profile including work experience).
Name of employ
Detailed profile
Work experience
Whether the applicant has made payment of application fee as specified in regulation 6/ regulation 7 to the Financial Adviser and Chief Accounts Officer of the Board for issue / renewal of license
In the event of issue of license, whether the applicant is willing to pay security deposit as specified in regulation 6. The applicant must deposit interest free refundable security deposit of rupees five lakhs or such higher amount , as the Board may fix, from time to time, to meet any contingency
(Original Security Deposit Certificate must be Couriered to NMPT office).
History of Earlier Transactions
Whether the applicant has cleared all dues in respect of earlier transactions, if any, with the Board (enclose copies of no due certificates from the concerned authorities of the Board)
No due from Revenue Section.
No due from RCHW section.
No due from Estate Section , must be provided.
In case of renewal of licence, enclose safety clearance certificate granted by inspector of dock safety. If not, enclose duly executed original indemnity bond as in Form -C (original indemnity bond Certificate must be Couriered to NMPT office)
DECLARATION
I/We, affirm that the particulars given above are true to the best of my/our knowledge and belief.
I/ We, agree to pay the royalty amount as license fee as specified by the Board, charges payable to the registered cargo handling workers and charges for any other services of the Board availed by me/us for undertaking stevedoring and shore handling operations at New Mangalore Port.
I/We, agree to furnish any other information/produce any record for inspection as may be required by the concerned authority for issue/renewal of license.
I/We, agree to abide by the New Mangalore Port Authority (Licensing of Stevedoring and Shore Handling) Regulation, 2019, as amended from time to time and to comply with the directions issued by the Board from time to time, if the licence is issued or renewed in my / our favour.
I/We, hereby declare that, I/We have not been convicted for any offence involving moral turpitude and enclosed the certificate as in Appendix-I.
I/We, hereby undertake that, I/We shall charge the rates for services rendered not exceeding the ceiling rates notified by the tariff authority.
Date
Place
Note :
1. The attached Declaration and Conditions form must be signed and stamped and sent to NMPA office in original .
2. Documents in Original must be sent to the follwing address:
The Traffic Manager New Mangalore Port Authority Administrative office, Panambur - 575010 Dakshina Kannada, Karnataka
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