General Information

Name of the Organisation:
Office Address:
City:
State:
Pincode:
Phone No.(With STD/ISD code)
FAX No.
Email ID: (In Capital Letters)
Web Site:
Country:
Business Information

Status:
Licence Number of Minister of Labour Govt. of India:
ISO Certified:
Details of Membership of Professional Bodies:
Details of Country with whom your organisation is dealing in:
Immigration
Student Authorization
Any Other Activity
Detail of Network in India
Name of Partner / Director / Associates
Total Number of Regular Employes:
Years of Commencement

Details of Successful Cases:
Permanent Cases:
Business Category Cases:
Students Authorization:
Any Other (Specify):
Immigration
Student Authorization
List of 25 Successful Immigration Cases (To be Attached)
Education

Please provide a Brief overview of Educational background of Head of Organisation:
References

Please provide the Name,Address,Telephone Number of three persons that know of your experience & ability as an Immigration & Education Consultant:
Legal

Any Legal case (If so then Provided Details):
Any Conviction case (If so then Provided Details):
Any Pending Police /Conviction case (If so then Provided Details):
Additional Details

Please provide an additional information you wish to submit:
APIEC Sponsor (if any):
Declaration
I solemnly declare that the information I have given in the forgoing application is Truthful,Complete & Correct and I make this solemn declaration conscientiously believing it to be Trus and knowing that it is of the same force and effective as if made under oath
I have fully reviewed APIEC’s professional cade of Conduct and hereby declare that I will abide by these standards
I concent to your conduction or causing to be conducted refrence and background investigation in connection with this Application.

Date:
Place:
Name:
Designation:

Note :-After Completion,please forward to Secy,APIEC.along with membership fees drewn on APIEC of India,Payable at Chandigarh by Cheque or DD.