Detail

(Regulation 17)

FORM OF REGISTRATION FORM
CUSTOMS BROKERS & CUSTOMS CLERKS COMMISSION
REGISTRATION FORM
File No ........................................ Date ........................................
The Secretary
Customs Brokers & Customs Clerks Commission
c/o Customs & Excise
Castries.
Name of firm ................................................................................
Address of firm ................................................................................
The following employee(s) currently possess a customs clerk licence –
Name	Date of employment	Customs Clerk grade and licence No.	Specimen Signature



The following employee(s) currently possess an apprentice permit–
Name	Date of employment	Apprentice Permit No.	Specimen Signature

The following employee(s) are employed to enter, clear goods or effect other transactions–
Name	Date of employment	State purpose of employment e.g. to enter, clear goods or effect other transactions	Specimen signature



Name ........................................
Signed ........................................
Title ........................................