COUNCIL FOR LEATHER EXPORTS - leatherindia.org

1 1 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 & 64E-mail: Website MEMBERSHIP RENEWAL APPLICATION FORM FOR 2017-18 Please fill up the form by giving relevant information and by ticking in the appropriate Box wherever Name & Correspondence Address of the Company :City :State : Pin Code : Telephone No. : Fax No. (With STD Code No.) (With STD Code No.)E-mail : Website : 2. Person to whom communications should be sentName : Designation : Mobile No. : 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.

2 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 < Lakh Lakh- 5 Crore -10 Crore Crore>26. Constitution of the Company Proprietorship Partnership Private Limited Public Limited Hindu Undivided Family Others(Please specify)7. Factory AddressCity : State : Pin Code : Telephone No. : Fax No. (With STD Code No.) (With STD Code No.) E-mail : Website :8. Rating of the Company as per National Foreign Trade Policy( export Performance - FOB / FOR as converted - value in US$ million) 1) One Star export House 2) Two Star export House 3) Three Star export House US $ 3 million US $ 25 million US $ 100 million 4) Four Star Trading House 5) Five Star export House US $ 500 million US $ 2000 millionb) Please specify whether your unit isLocated 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.

3 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(A Self certified copy of the recognition certificates to be attached)310. Production during 2016 - 17 PRODUCTION 2016-2017 FINISHED LEATHEREXPORTin ) Raw to Semi Finished Leather2) Semi Finished LEATHER to Finished Leather3) Raw to Finished LeatherTOTALPRODUCTION 2016-2017 FOOTWEAREXPORTin pairsDOMESTICin pairsTOTALin pairsl ) LEATHER footwear2) LEATHER Shoe Uppers3) Other Components (Please specify) 4) Non LEATHER Footwear (Please specify)TOTALPRODUCTION 2016-2017 EXPORTin piecesDOMESTICin piecesTOTALin piecesLEATHER GARMENTSLEATHER GOODSSADDLERY & HARNESS PRODUCTION 2016-2017 EXPORTin pairsDOMESTICin pairsTOTALin pairsLEATHER GLOVES411.

4 Employment Details12. export Detailsa) Exporting Branded /Unbranded /Both details of Brand13. 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)MaleFemaleTotalShop floor Level - SkilledShop Floor Level - UnskilledMiddle ManagementTop ManagementTotalSI. NameProductClassificationExport2016-2017 Country to which ExportedSI. Name2014 - 152015- 162016 - 171 Leather2 LEATHER Footwear3 Footwear Components4 LEATHER Apparels5 LEATHER Articles6 LEATHER Gloves7 Saddlery & Harness8 Non LEATHER Footwear9 Other Products (other than LEATHER sector items mentioned above)10 Total5 ProductCode SALES 2016-2017 Quantity Value inRupees LakhsQuantity Value inRupees LakhsFL 01 Goat LeatherFL 02 Sheep LeatherFL 03 Cow LeatherFL 04 Buff LeatherFL O5 Cow Calf LeatherFL 06 Buff calf LeatherFL 07 Industrial LeatherFL 08 Sole LeatherFL 09 Upholstery LeatherFL 10 Others (Please specify)SUB TOTAL (a)ProductCode SALES 2016-17 Quantity inNo.

5 Of pairsFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees LakhsGENTS FOOTWEARLF 01 Casual / Dress ShoesLF 02 Long / Half BootsLF 03 SandalsLF 04 Chappals / Slippers / HorrachisLADIES FOOTWEARLF 05 Casual Dress ShoesLF 06 Long / Half BootsLF 07 SandalsLF 08 Chappals / Slippers / Horrachis14. Details of Product wise export & Domestic Sales (a) LEATHER (FL)(b) LEATHER FOOTWEAR (LF)6 CHILDRENFOOTWEARLF 09 Casual / Dress ShoesLF 10 Long / Half BootsLF 11 SandalsLF 12 Chappals / Slippers / HorrachisOTHER FOOTWEARLF 13 Army BootsLF 14lndustrial / Safety shoes/ BootsLF 15 Sports ShoesLF 16 Orthopaedic ShoesLF 17 Others (Please specify)SUB TOTAL (b)ProductCode SALES 2016-2017 Quantity inNo. of pairsFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees LakhsFC 01 Gents LEATHER Shoe UppersFC 02 Gents LEATHER Boot UppersFC 03 Gents LEATHER Sandals UppersFC 04 Gents LEATHER Chappals UppersFC 05 Ladies LEATHER Shoe UppersFC 06 Ladles LEATHER Boot UppersFC 07 Ladies LEATHER Sandals UppersFC 08 Ladies LEATHER Chappals UppersFC 09 Children LEATHER Shoe UppersFC 10 Children LEATHER Boot UppersFC11 Children LEATHER Sandals Uppers( c ) FOOTWEAR COMPONENTS (FC)7FC 12 Children LeatherChappals UppersFC 13 Textile / Synthetic UpperFC 14 LEATHER Unit SolesFC 15 Other Components(made of LEATHER ,not mentioned above, please specify)FC 16 Non LEATHER footwear Components(please specify.)

6 Like soles, Heels, Counters, Toe puffs, Stiffners, Shanks, Other Components etc.)SUB TOTAL (c)ProductCode SALES 2016-2017 Quantity inNo. of piecesFOB Value inRupees LakhsQuantity inNo. of piecesSales Value inRupees LakhsGR 01 Gents LEATHER JacketsGR 02 Gents LEATHER Long CoatsGR 03 Gents LEATHER Waist Coats/ShirtsGR 04 Gents LEATHER Pants / ShortsGR 05 Ladies LEATHER jacketsGR 06 Ladies LEATHER Long CoatsGR 07 Ladies LEATHER Waist Coats/ ShirtsGR 08 Ladies LEATHER Pants / ShortsGR 09 Children GarmentsGR 10 Motorbike jacketsGR 11 Industrial LEATHER Gar-mentsGR 12 LEATHER ApronsGR 13 Other (Please specify) SUB TOTAL (d)(d) LEATHER GARMENTS (GR)8 ProductCode SALES 2016-2017 Quantity inNo. of piecesFOB Value inRupees LakhsQuantity inNo. of piecesSales Value inRupees LakhsLP 01 WalletsLP 02 PursesLP 03 PouchesLP 04 BagsLP OSTravel / LuggagewareLP 06 Passport Holders/Credit Card HoldersLP 07 Portfolio / BriefcasesLP 08 LEATHER Belts, Caps & TiesLP 09 Diary Covers / Cheque Book CoversLP 10 Desk Top MaterialsLP 11 Covers for Camera, Calculator, 12 LEATHER ToysLP 13 Handcrafted LEATHER ItemsLP 14 Pet AccessoriesLP 15 Sofa / Chair / Car seat covers (Upholstery)LP 16 Other LEATHER Goods (please specify)SUB TOTAL (e)ProductCode SALES 2016-2017 Quantity inNo.

7 Of piecesFOB Value inRupees LakhsQuantity inNo. of piecesSales Value inRupees LakhsSH 01 HarnessSH 02 Saddles / BridlesSH 03 Non LEATHER Harness/ Saddles / BridlesSUB TOTAL (f)(e) LEATHER GOODS (LP)(f) SADDLERY & HARNESS (SH)9 ProductCode SALES 2016-2017 Quantity inNo. of pairsFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees LakhsGL 01 Fancy Fashion GlovesGL 02 Sports GlovesGL 03 Industrial GlovesGL 04 Other LEATHER Gloves(Please specify)SUB TOTAL (g)ProductCode SALES 2016-2017 Quantity inNo. of pairssFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees LakhsGENTS FOOTWEAR RUBBERFR 01 ShoesFR 02 SandalsFR 03 Chap palsFR04 Other FootwearLADIES FOOTWEAR RUBBERFR 05 ShoesFR 06 SandalsFR 07 ChappalsFR 08 Other FootwearCHILDREN FOOTWEAR RUBBERFR 09 ShoesFR 10 SandalsFR 11 ChappalsFR 12 Other FootwearSUB TOTAL (h)(g) LEATHER GLOVES (GL)(h) NON LEATHER FOOTWEAR - RUBBER (FR)10 ProductCode SALES 2016-2017 Quantity inNo.

8 Of pairsFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees Lakhs GENTS FOOTWEAR PLASTICFP 01 ShoesFP 02 SandalsFP 03 ChappalsFP 04 Other FootwearLADIES FOOTWEAR PLASTICFP 05 ShoesFP 06 SandalsFP 07 ChappalsFP 08 Other FootwearCHILDREN FOOTWEAR PLASTICFP 09 ShoesFP 10 SandalsFP 11 ChappalsFP 12 Other FootwearSUB TOTAL (i)( i) NON LEATHER FOOTWEAR - PLASTIC11 ProductCode SALES 2016-2017 Quantity inNo. of pairsFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees LakhsGENTS FOOTWEAR PLASTICFP 01 ShoesFP 02 SandalsFP 03 ChappalsFP 04 Other FootwearLADIES FOOTWEAR PLASTICFP 05 ShoesFP 06 SandalsFP 07 ChappalsFP 08 Other FootwearCHILDREN FOOTWEAR PLASTICFP 09 ShoesFP 10 SandalsFP 11 ChappalsFP 12 Other FootwearSUB TOTAL (i)(j) NON LEATHER FOOTWEAR- 12 ProductCode SALES 2016-2017 Quantity inNo. of pairsFOB Value inRupees LakhsQuantity inNo. of pairsSales Value inRupees LakhsGENTS NON LEATHER FOOT-WEAR- OTHERSFO 01 ShoesFO 02 SandalsFO 03 ChappalsFO 04 Other FootwearLADIES NON LEATHER FOOT-WEAR - OTHERSFO 05 ShoesFO 06 SandalsFO 07 ChappalsFO 08 Other FootwearCHILDREN NON LEATHER FOOTWEAR - OTHERSFO 09 ShoesFO 10 SandalsFO 11 ChappalsFO 12 Other FootwearSUB TOTAL (k)(k) NON LEATHER FOOTWEAR - OTHER GRAND TOTAL OF FOB VALUE (SUB TOTAL a-k) in Figures words (Rupees 13 Product code are as given in table 13 (a) to (k) :Name of the Company:Country-wise export Performance During 2016-17 CountryProductCode Value - 2016-17 (in Rupees Lakhs)15.)

9 Details of Country wise 14 CountryProductCode Value - 2016-17 (in Rupees Lakhs)15 CountryProductCode Value - 2016-17 (in Rupees Lakhs)16 DECLARATIONC ertified 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. Signature of the Authorised Person Name DesignationCompany Seal with DateVerified & Certified that information furnished are correctSignature Name Bank Official Code Seal with DateMember category based on previous year (2016-17) export FOB valueASSOCIATE MEMBERS : Membership Annual Feein + + (15%)in Amountin lakh50007505750 ORDINARY MEMBERS : Above lakhs & upto 1 crore700010508050 Above Rs.

10 1 crore & upto 5 crore15000225017250 Above Rs. 5 crore & upto 10 crore20000300023000 Above Rs. 10 crore 30000450034500 RENEWAL OF MEMBERSHIP FEE DETAILS FOR 2017-18 office OF THE COUNCIL FOR LEATHER EXPORTSHEAD 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, 28594364E-mail : Website : REGION Campus,(Adjacent to Central Bank of India)Nawab Ganj, Kanpur 208 : +91-512-2534198 Fax : +91-512-2534197E-mail : REGIONUnit No. 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 26814503E-mail : REGION : Duckback House First Floor,1B, 41, Shakespeare Sarani,Kolkata - 700 : +91-33-22835479/80 Fax : +91-33-22877270E-mail : EXTENSION office : S-6, 2nd Floor, Friends TowerBlack No. 41-B, Sanjay Place, Agra - 282 002.