COUNCIL FOR LEATHER EXPORTS

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COUNCIL FOR LEATHER EXPORTS (Sponsored by Ministry of Commerce & Industry, Government of India) Regd. Office : 3rd Floor, CMDA Tower - II, Gandhi Irwin Bridge Road, Egmore, Chennai - 600 008. Phone : 044 28594367-71 (5 lines) Fax : 044-28594363 & 64 E-mail: cle@cleindia.com Website :www.leatherindia.org MEMBERSHIP RENEWAL APPLICATION FORM FOR 2018-19 Please fill up the form by giving relevant information and by ticking in the appropriate Box wherever necessary. 1. Name & Correspondence Address of the Company : City : State : Pin : Telephone : (With STD ) Fax (With STD ) E-mail : Website : GST Registration : 2. Person to whom communications to be sent Name : Designation : Mobile : E-mail : 3. The following details have to be furnished by your company for use in connection with election of various Committees of the Council, if any (i) Name & Designation of the Representative, who is authorized to vote: (ii) Email ID of authorized person to be registered for election: (iii) Mobile Number of authorized person for sending password about election: 4. Nature of Activity Manufacturer Merchant Others (Please specify) 5. Total Capital Employed in Plant & Machinery in Rupees Micro Enterprise Small Enterprise Medium Enterprise Large Enterprise <Rs.25 Lakh Rs.25 Lakh- 5 Crore Rs.5-10 Crore Rs.10 Crore> 1

6. Constitution of the Company Proprietorship Partnership Private Limited Public Limited Hindu Undivided Family Others(Please specify) 7. Factory Address City : State : Pin : Telephone : (With STD ) Fax (With STD ) E-mail : Website : 8. Rating of the Company as per National Foreign Trade Policy (Export Performance - FOB / FOR as converted - value in US$ million) a) One Star Export House Two Star Export House Three Star Export House US $ 3 million US $ 25 million US $ 100 million Four Star Trading House US $ 500 million Five Star Export House US $ 2000 million b) Please specify whether your unit is Located in Domestic Tariff Area (DTA) An Export Oriented Unit (EOU) Located in Special Economic Zone (SEZ) (A Self certified copy of the recognition certificates to be attached) 9. Whether following standards achieved? (i) ISO 9001 for Quality Management systems: YES NO (ii) ISO 14001 - for Environmental Management Systems: YES NO (iii) OHSAS 18001 for Occupational Health and Safety Management Systems: YES NO (iv) SA-8000 for Social Accountability: YES NO (iv) Any other YES NO (A Self certified copy of the recognition certificates to be attached) 2

10. ion during 2017-18 PRODUCTION 2017-2018 FINISHED LEATHER EXPORT in Sq.Ft. DOMESTIC in Sq.Ft. TOTAL in Sq.Ft. l ) Raw to Semi Finished Leather 2) Semi Finished Leather to Finished Leather 3) Raw to Finished Leather TOTAL PRODUCTION 2017-2018 FOOTWEAR EXPORT in pairs DOMESTIC in pairs TOTAL in pairs l ) Leather footwear 2) Leather Shoe 3) Other Components (Please specify) 4) Non Leather Footwear (Please specify) TOTAL PRODUCTION 2017-2018 EXPORT in pieces DOMESTIC in pieces TOTAL in pieces LEATHER GARMENTS LEATHER GOODS SADDLERY & HARNESS PRODUCTION 2017-2018 EXPORT in pairs DOMESTIC in pairs TOTAL in pairs LEATHER GLOVES 3

11. Employment Details Male Female Total Shop Floor Level - Skilled Shop Floor Level - Unskilled Middle Management Top Management Total 12. Export Details a) Exporting Branded /Unbranded /Both details of Brand SI. Brand Name Classification Export 2017-2018 Country to which Exported 13. Total export of the applicant of items covered by this Council during the last three preceding financial years : FOB VALUE OF EXPORT (Rs. in lakhs) SI. Panel 2015-16 2016-17 2017-18 1 Leather 2 Leather Footwear 3 Footwear Components 4 Leather Apparels 5 Leather Articles 6 Leather Gloves 7 Saddlery & Harness 8 Non Leather Footwear 9 10 Total Other s (other than leather sector items mentioned above) 4

14. Details of wise Export & Domestic Sales (a) LEATHER (FL) FL 01 FL 02 FL 03 FL 04 FL O5 FL 06 FL 07 FL 08 FL 09 FL 10 SUB TOTAL (a) Goat Leather Sheep Leather Cow Leather Buff Leather Cow Calf Leather Buff calf Leather Industrial Leather Sole Leather Upholstery Leather Others (Please specify) Sq.Ft Sq.Ft. (b) LEATHER FOOTWEAR (LF) GENTS FOOTWEAR LF 01 LF 02 LF 03 LF 04 Casual / Dress Long / Half Boots / Slippers / Horrachis LADIES FOOTWEAR LF 05 LF 06 LF 07 LF 08 Casual Dress Long / Half Boots / Slippers / Horrachis EXPORT 2017-18 DOMESTIC SALES 2017-18 5

CHILDREN FOOTWEAR LF 09 LF 10 LF 11 LF 12 Casual / Dress Long / Half Boots / Slippers / Horrachis OTHER FOOTWEAR LF 13 LF 14 LF 15 LF 16 LF 17 SUB TOTAL (b) Army Boots lndustrial / Safety shoes/ Boots Sports Orthopaedic Others (Please specify) ( c ) FOOTWEAR COMPONENTS (FC) FC 01 FC 02 FC 03 FC 04 FC 05 FC 06 FC 07 FC 08 FC 09 FC 10 FC11 Gents Leather Shoe Gents Leather Boot Gents Leather Gents Leather Ladies Leather Shoe Ladles Leather Boot Ladies Leather Ladies leather Children Leather Shoe Children Leather Boot Children Leather 6

FC 12 FC 13 FC 14 FC 15 FC 16 SUB TOTAL (c) Children Leather Textile / Synthetic Upper Leather Unit Soles Other Components (made of leather, not mentioned above, please specify) Non Leather footwear Components(please specify. like soles, Heels, Counters, Toe puffs, Stiffners, Shanks, Other Components etc.) (d) LEATHER GARMENTS (GR) GR 01 GR 02 GR 03 GR 04 GR 05 GR 06 GR 07 GR 08 GR 09 GR 10 GR 11 GR 12 GR 13 SUB TOTAL (d) Gents Leather Jackets Gents Leather Long Coats Gents Leather Waist Coats/Shirts Gents Leather Pants / Shorts Ladies Leather jackets Ladies Leather Long Coats Ladies Leather Waist Coats/ Shirts Ladies Leather Pants / Shorts Children Garments Motorbike jackets Industrial Leather Garments Leather Aprons Other (Please specify) of pieces of pieces 7

(e) LEATHER GOODS (LP) LP 01 LP 02 Wallets Purses of pieces of pieces LP 03 LP 04 LP OS LP 06 LP 07 LP 08 LP 09 LP 10 LP 11 LP 12 LP 13 LP 14 LP 15 LP 16 Pouches Bags SUB TOTAL (e) Travel / Luggageware Passport Holders/Credit Card Holders Portfolio / Briefcases Leather Belts, Caps & Ties Diary Covers / Cheque Book Covers Desk Top Materials Covers for Camera, Calculator, etc. Leather Toys Handcrafted Leather Items Pet Accessories Sofa / Chair / Car seat covers (Upholstery) Other Leather Goods (please specify) (f) SADDLERY & HARNESS (SH) SH 01 Harness of pieces of pieces SH 02 SH 03 SH 04 SUB TOTAL (f) Saddles / Bridles Non Leather Harness/ Saddles / Bridles Pet Accessories 8

(g) LEATHER GLOVES (GL) GL 01 GL 02 Fancy Fashion Gloves Sports Gloves GL 03 GL 04 SUB TOTAL (g) Industrial Gloves Other Leather Gloves (Please specify) (h) NON LEATHER FOOTWEAR - RUBBER (FR) GENTS FOOTWEAR RUBBER FR 01 FR 02 FR 03 FR 04 LADIES FOOTWEAR RUBBER FR 05 FR 06 FR 07 FR 08 CHILDREN FOOTWEAR RUBBER FR 09 FR 10 FR 11 FR 12 SUB TOTAL (h) 9

( i) NON LEATHER FOOTWEAR - PLASTIC GENTS FOOTWEAR PLASTIC FP 01 FP 02 FP 03 FP 04 LADIES FOOTWEAR PLASTIC FP 05 FP 06 FP 07 FP 08 CHILDREN FOOTWEAR PLASTIC FP 09 FP 10 FP 11 FP 12 SUB TOTAL (i) 10

(j) NON LEATHER FOOTWEAR- P.V.C. GENTS FOOTWEAR PLASTIC FP 01 FP 02 FP 03 FP 04 LADIES FOOTWEAR PLASTIC FP 05 FP 06 FP 07 FP 08 CHILDREN FOOTWEAR PLASTIC FP 09 FP 10 FP 11 FP 12 SUB TOTAL (i) 11

(k) NON LEATHER FOOTWEAR - OTHER GENTS NON LEATHER FOOT- WEAR- OTHERS FO 01 FO 02 FO 03 FO 04 LADIES NON LEATHER FOOT- WEAR - OTHERS FO 05 FO 06 FO 07 FO 08 CHILDREN NON LEATHER FOOTWEAR - OTHERS FO 09 FO 10 FO 11 FO 12 SUB TOTAL (k) GRAND TOTAL OF FOB VALUE (SUB TOTAL a-k) in Figures Rs. in words (Rupees 12

15. Details of Country wise code are as given in table 13 (a) to (k) : Name of the Company: Country-wise Export Performance During 2017-18 Country Quantity FOB Value - 2017-18 (in ) 13

Country Quantity FOB Value - 2017-18 (in ) 14

Country Quantity FOB Value - 2017-18 (in ) DECLARATION Certified that information furnished above have been verified with our documents and found correct. The information furnished here may be used by the council for purpose of determining the Export Award Winners as well as for other official purposes. Name Signature of the Authorised Person Company Seal with Date Designation Verified & certified that the above mentioned export value for the year 2017-18 furnished are correct Signature Name Bank Official Banker Seal with Date 15

Member category based on previous year export FOB value 2017-18 ASSOCIATE MEMBERS : Procedure for Renewal of Membership The Member shall have to produce the following documents at the time of Renewal of their Membership of the Council. 1. Membership Renewal Application form 2. Applicable Membership fee through Account Payee Cheque /Demand Draft in favour of COUNCIL FOR LEATHER EXPORTS 3. Original Registration-cum-Membership Certificate (RCMC) 4. A self certified copy of GST registration 5. Export Performance for the previous year as prescribed in the membership renewal application form duly certified by Bank. In case of no export, you may declare in the membership renewal application form as NIL export The Annual Membership Fee details for Renewal your Membership 2018-19 Annual Renewal Membership fee GST 18% Total Below Rs. 15 lakh (G) Rs.5000 Rs.900 Rs.5900 ORDINARY MEMBERS : Above Rs. 15 lakhs & upto Rs.1 crore (F) Rs.7000 Rs.1260 Rs.8260 Above Rs. 1 crore & upto Rs. 5 crore ( E) Rs.15000 Rs.2700 Rs.17700 Above Rs. 5 crore & upto Rs.10 crore (D) Rs.20000 Rs.3600 Rs.23600 Above Rs.10 crore & upto Rs.50 crore (C) Rs.30000 Rs.5400 Rs.35400 Above Rs. 50 crore & upto Rs. 100 crore (B) RS.40000 RS.7200 RS.47200 Above Rs.100 crore (A) RS.50000 RS.9000 RS.59000 OFFICE OF THE COUNCIL FOR LEATHER EXPORTS HEAD OFFICE AND SOUTHERN REGIONAL OFFICE: CMDA Towers-II, 3rd Floor, Gandhi Irwin Bridge Road, Egmore, Chennai - 600 008 Phone: +91-44-28594367-71 (5 lines) Fax : +91-44-28594363, 28594364 E-mail : cle@cleindia.com Website : www.leatherindia.org CENTRAL REGION : H.B.T.I. Campus, (Adjacent to Central Bank of India) Nawab Ganj, Kanpur 208 002. Phone : +91-512-2534198 Fax : +91-512-2534197 E-mail : cleknp@cleindia.com NORTHERN REGION Unit 317, 3rd Floor, DLF Prime Towers, F79 & 80, Okhla Phase 1, Industrial Area, Near (Hotel Crowne Plaza), New Delhi 110 020 Phone : 011 26814501, 26814502 Fax : 011 26814503 E-mail : cledelhi@cleindia.com EASTERN REGION : Duckback House First Floor, 1B, 41, Shakespeare Sarani, Kolkata - 700 017. Phone : +91-33-22835479/80 Fax : +91-33-22877270 E-mail : cleer@cleindia.com AGRA EXTENSION OFFICE : S-6, 2nd Floor, Friends Tower Black 41-B, Sanjay Place, Agra - 282 002. Phone : +91-562-2852619 Fax : +91-562-28544053 E-mail : cleagra@cleindia.com cleagra@hotmail.com WESTERN REGION : STARHUB, Building 1, Unit 102, Near Hyatt Regency & ITC Grand Maratha, International Airport Sahar Road, Andheri (East), Mumbai - 400 099 Phone : 022-28392221 Fax : 022-67256236 E-mail : cleb@cleindia.com JALANDAR EXTENSION OFFICE : CFC Building Leather Complex, Kapurthala Road, Jalandhar - 144 021, Punjab. Phone : +91-181-2650967 Fax : +91-181-2650967 E-mail : clejalandhar@ymail.com 16