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Date: 01 February 2022.

To,The Jurisdiction to The Chiff Commissioner,AEO Cell, Customs, Gujarat Zone,2nd Floor, Custom House, Nr. All lnda Radio,Navrangpura, Ahmedabad - 380 009

Subject : Application for Authorised Economic Operator (AEO) T-3

Dear Sir,

Loxim lndustries Limited ('LOXIM'or'the Company') is engaged in the manufacturing of Dyes andEngineering Plastic Compound (Plastic Granuals). The company has three lVanufacturing Plants inthe state of Gujarat. ln additional to the same there are three depos all over lndia.

The Company is An AEO T2 certified entity having certificate number lNAAACL9043M2F197 dated15.07.2019.

As LOstandacompacircula

XIM is engaged in impofts of inputs and export of finished goods and is following globalrds of compliance in respect of supply chain security standards as an AEO T2 certifiedrny since more than 2 years, the company intends to apply for AEO T3 certificate as perr 3312016-Customs dtd. 22 July 2016.

[ion to above, we have enclosed herewith the following documents/information for youreration.

In relaconsid

Annexure A - Application for grant of AEO T3 status.Annexure B - Security Plan.Annexure C - Process Map.Annexure D - Site Plan of the factory.Annexure E - Self assessment form (Safety and Security)Annexure F - List and copy of AEO Business Partner.Attachment A-01 - Copy of IEC Certificate, GST CertificateAttachment A-02 - Copy of AEO CertificateAttachment A-03 - List all the site of the company.Attachment A-04 - Copy of Certificate of lncorporation.Attachment A-05 - Copy of PAN Card.Attachment 4-06 - List of Bill of Entry.Attachment A-07 - List of Shipping Bill.Attachment A-08 - Copy of MSME Certificate.

AEO Ai;lCn Drled- -*

:iic;:tionloy)z-a:foohaz-Mn-tl'a-r

by:

AEO C rll, Custorrts, '{hmedabad

Attachment B-01 - Photographs of Building, Fire safety, Training, Security Cabin, CCTV etc.Attachment B-02 - List of lnsurance Policy of Company.Attachment B-03 - List of Government and other Registration.Attachment C-01 - Copy of Quality Management Certificate and Index.Attachment D-01 - Sample Layout of Buildings, Fire Safety, Site map, CC TV, etc..Attachment E-01 - List of Directors and Board Resolution in favor of Authority Signatory.Attachment E-02 - Copy of three-year Financial Statement of Company.Attachment E-03 - Declaration/Undeftaking of no cases of any infringement of Customs LawsAttachment E-04 - Declaration and Details of show cause notice issued.Attachment E-05 - Specific Work lnstruction.

-*tr

LOXIM INDUSTRIES LIMITEDRegistered Office: ONE42, South Tower, 9th Floor, Ambli Bopal Road, Bodakdev, Ahmedabad -380054, INDIA

+91 79 6155 0000 * [email protected] * www.loxim.comCIN : U241 1 4GJ2003PLCA42820

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AttachmentAttachmentAttachmentAttachmentAttachmentAttachmentAttachmentAftachmentAttachmentAttachment

E-06 -E-07 -E-08 -E-09 -E-10 -E-11 -E-12 -E-13 -E-14 -E-15 -

Thanking you.

For Loxim ln-tustri

Authorised SRakesh Shah(Sr. Manager - Account and Finance)

Encl: As above.

Sample copy of Organisation chart of company.Copy of lT Policy for Securing dataCopy of MGT 7Copy of Financial solvency certificate.Copy of Process approach for dispatch.Sample list of self-sealing issued.Sample pages of visitor and lnward/outward RegrsterCopy of Business Partner Agreements.Copy of lD cards and sample copy of register.Summary of Training and Seminars.

ited

IN DIA

We would request you to kindly take the above on record and guide us suitably for expectedrenewal of the AEO T3 registration.

Should you require any other details/clarification in this regard, we would to be glad to provide thesame

LOXIM INDUSTRIES LIMITEDRegistered Office: ONE-42, South Towe., gth Floor, Ambli Bopal Road, Bodakdev, Ahmedabad -380054, INDIA

+91 79 6155 0000 ' [email protected] * wwl r-loxim.cofiCIN: U241 14GJ2003P1C042820

DETAILS OF DIRECTORS / PARTNERS/ PROPRIETER ALONGWTH THE DETAILS OFCOMPANY SECRETARY VIZ, NAME, ADDRESS, PAN NO, ETC.

NDIA

LOXIM INOUSTRIES LIMITEORegistered Office: ONE-42, South Tower, gth Floor, Ambli Bopal Road, Bodakdev, Ahmedabad -380054, INDIA

+91 79 6155 0000 ' [email protected] ' www.loxim.comCIN: U241 14GJ2003PLC042820

.4,.\.,.1.'i" l

sR.NO.

NAME ADDRESS DESIGNATION

PAN NO. MEMBERSHIP NO./DIN NO.

1 CANONJAYPRAKASH

PATEL

ANIK 13, KAIRVIBUNGLOWS, SARGAM

MARG, BODAKDEV,AHMEDABAD 380054

GUJARAT, INDIA

ManagingDirector

AAWPPO924A 0007806s

2 FALGUNI CANONPATEL



GUJARAT, INDIA

Director ACOPS3448J 00078102

3 JAYPRAKASHMANEKLAL

PATEL



GUJARAT, INDIA

Director ABCPP1959N 00256790

4 SUNIL BANSIBHAISHAH

A-30.1 SEPALRESIDANCY OPP AONE

SCHOOL OPPASHWAMEGH 5

SATELLITEAHMEDABAD 380015

GUJARAT, INDIA

lndependentDirector

AHBPS7656L o2107662

5 BHAVANSINHAMARSINH

RATHOD

D - 501, KESARORCHID, NR. MAHADEV

RESIDENCY, NAVANARODA, POO,

SPANDAN BUNGLOW,AHMEDABAD -380016,

GUJARAT, INDIA

Director AMEPR4432K 0008760535

6 PURVISHASHIKANT

SHAH

12-C, JAY YOGESHWARAPARTMENT,

KUBHNATH SOCIETY,MANINAGAR,

AHMEDABAD -38OOO8

CompanySecretary

BBZPS2597D 439849

SRNO

List of Sites / Branches / Places/ Locations where goods are being handled e.g. loading, unloading,storage etc. in the course of supply to/ from international supply chain:

8000828244

U5

06

u,rI LOXIM INDUSTRIES LIMITED

ReoiCtored Office: ONE-42, South Tower, gth Floor, Ambli Bopal Road, Bodakdev, Ahmedabad -380054, INDIA.' ' +9'l 79 6155 OOOO ' [email protected] ' www.loxim.com\.,\,

SITE/ BRANCHIPI,.CEILOCATION ADDRESS

GOODSHANDLED/

OPERATIONSCARRIED/

ACTIVITIES

CONTACTPERSON

DESIGNATION PHONENUMBER

01 LOXIM INDUSTRIES LIMITED

ONE 42, South Tower 9th Floor,Ambli Bopal Road, NearJayantilal Park BRTS Stop,Bodakdev - Ahmedabad 380054,GUJARAT, INDIA

RegisteredOffice

No Activities ofGoods Handled/OperationslCariedlActivities

RakeshShah

Sr. Manager(Account andFinance)

7069001455


Plot No. 184-185/2, Sanand-Viramgam Highway, lyavaVillage, Sanand 382 110.,District: Ahmedabad, GUJARAT,INDIA

FactoryPremises

Yes, Activities ofGoods Handled/OperationslCafiiedlActivities

Arju nMahida

Store ln charge 8511714903


Plot No. 105/1 09-A, ECPL CanalRoad, Ekalbara Village, Padra391 44O. District . Vadodara,GUJARAT, INDIA

FactoryPremises

Yes, Activities ofGoods Handled/OperationslCarriedlActivities

HardikPatel

Sr. Executive(Store andDispatch)

9723637808

o4 LOXIM INDUSTRIES LIMITED

Gate No,61 , Pardeshi Vasti, Nrpoona Sahakari Bank, PuneNasik Highway, Chimbli Pata,Pune - 412105 MAHARASTA,INDIA

Warehouse

Yes, Activities ofGoods Handled/OperationslCaffiedlActivities

Rajendra Store ln charge 7972195807

LOXIM INDUSTRIES LIMITED Warehouse

108, Santro City,Chembarambakkam, Chennai6001 24 TAMILNADU, INDIA

Yes, Actrvities ofGoods Handled/OperationslCarriedlActivities

Prabhakarn Store ln charge 9677286631

LOXIM INDUSTRIES LIMITED Warehouse

Shop No 02,Village-Asalwas, Nr.Yadav Settring Store,NH No. 08, Delhi-Jaipur Road,Dist-Rewari, Bawal 123501 ,

Yes, Activities ofGoods Handled/Operations/Carried/

HARYANA, INDIA lActivities

KashmirSinha

Store ln charge

ciN: u 241 14GJ2oo3PLc042820

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-c{-J.\,>-'ffi$

rT:rq? d1aCiovcmmcnt of India

Ministry of Commerce and hrdustry trDepartn'lent of Commerce

Directorate Ceneral of Foreign Trade

Office of the Addrtional Director Ceneral of Foreign Trade, Ahmedabad

A Block, I lth Floor,Govt.,Multistoreyed Building,Lal Danvaja,AHMEDABADImporter-Exporter certifi cate

Address Line I Address Line2 City District Sta te PI\ Code

O1\-E-42.

SOUTH

TOWER. 9THFLOOR,

AMBLI BOPALROAD,

NEARJAYANTILALPARK BRTS

STOP.

BODAKDEV

AHMEDABAD ATIMADABAD GUJARAT 180054

1 3{rtfs/rEc

2. I5d zFI {Iq/Firm Name

3 firrq ff rmft n{aure of Concern

4. !?rl/Address

5.tlfa6 6r aFI / Name of the signatory applicant

6. qrfr 6{i ff drft€/Date of Issue

7. E{n{ rqrdr fr.(t{) /PAN

0E05017135

LOXIM INDUSTR]ES LIMITED

Public Limited

JAYPRAKASH MANEKLAL PATEL

24t03/2006

AAACLg043M

4t2105

8. eIr{IT/Fdr{ 6r qilr/Address of the Branch./Div./Unit if any

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5

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ROAD.NAVRANGPURA..AHMEDABADi AIIMADABAI) GUJARAT ]8OOO9

S.No Addressl Address2 City District State Pincode

MFG,/TRADINGUNIT.PLOT

NO.l84 & I85/2

.SANAND-VIRAMGAMHIGIIWAY .

IYAVA. SANAND

AIIMEDABAD AHMADABAD GUJARAT 182110I

BARODA GUJARAT 19 t 4402

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BLOCK NO I05AND IO9 A

ECPL ROAD VILEKALBARA TA

PADRAVADODARA

TAMIL NADU 600 r243PLOT NO IO8

SANTRO CITY

C}IEMBARAMBA]TIIIRUVALLUR

600124

TAMIL NADU TIIIRUVALLUR

PL]NE MAIIARASIITRAPARDESIII

BASTI.CATtsNO 61 NR PAVAN

SAH,BANKLTD,CIIAKAN,P

NASIKHIGIIWAY

PUNE

CHIMBALIPATA

02. NR. YADAVSETTRING

SRORE,

N,II, NO, E.

ASALWAS,TEHSIL

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ErII;t /Place : AHMEDABAD

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Note : This is a system generated copy. In case ofany discrepancy, please approac

Regional Authority (RA) conccrncd within 2 working days from date oflast modification

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Gor ernment of India

Form CST REC-06

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Registration Certificate

Registration Number :24AAACL9043M I ZB

I-OXIM INDUSTRI[S LIMITED

Signaturc

JAYESHKUN,IAR PRABIIAKAR PANDYA

Norcr Thc rcgi:ilration certillcate is requircd to bc proInincnll] riisplaycd al l]ll placcs ol Busiressroffice(s) in thc Stulc

l'his is a slslcm gencrated digitallt signed Registration (erlil'iralc issn{:d based on the approral ofrpplication granted on I9/l l/2020 b\

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I Lcgal Namc LOXIM INDUSTRII.,S I-IMITED

2 Tradc Name. ifany

l Constrtution of Busincss Public Limitcd Conpany

4 Address of Prrncipal Place ofBusincss

SOUTH TOWLR. 91ll fLOOR. ONE 42. B/H.ASHOK VATIKANR,JAYANTII-AI- PARK BRTS. BOPAL AMBALI ROAD.BODAKDEV. Alllvl EDABAD. Ahmedabad, Gujarat, 38005ti

5 Datc ol'l-iability 0|0112017

6 Date of Validity From olt)1/20t7 To Not Applicablc

'7 T),pc of Registrationu alReg

ll Parlrculars of Approung Authority Gujarat Goods and Scrvrccs Tax Act- 2017

Nanlc

Dcsignation

JLrrisdictional Ofllcc

Assistanl Conrnrissioncr

Ghatak ll (Ahnrcdabad)

9. Date ofrssuc ofCcrtificatc t9 i | /2020

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Dctails of Additional Place of Business(s)

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Tradc Nanre. ifany

24AAACL9O43M IZB

LOXIM INDUSTRIES LIM IT D

LOXIM INDUSTRIES I-IMITED

Total Number ofAdditional Places ofBusincss(s) in thc Statc

Sr. No

5

2

3

4

5

Address

PI-OT NO, I84.I85/2, SANAND VIRAMGAM IIIGIIWAY. IYAVA VILLAGE, SANAND.Ahnrcdabad, Gujarat, 382 1 l 0

PLOT NO,I84-I85/2, SANAND VIRAMGAM HI(;H\\'AY, IYAVA VILLAGE, SANAND.Ahmcdabad, Gujarat, 3821 l0IILOCK NO.l05/109A, ECPL ROAD. EKAt-BARA. PADRA. Vadodara. Gujarat.39l440

DP-120 AND DP-125 TO DP-129. SAYKHA INDUSTRIAL hSTATE. GIDC INDUSTRIALESTATE. SAYKHA, TA-VAGRA. Llharuch, Gujarat, 392140

803,8TH FLOOR, SHILP, C G ROAD. NAVRANGPURA. AHMEDABAD. Ahrnedabad, Gujarat.380009

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9AC

,A.nnexure B

Details of Managing / Wholc-time Directors and Key Manegerial Persons

GSTIN

Legal Name

Trade Name, ifany

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LOXIM INDI-]STRIES LIMITED

LOXIM INDUSTRIES LIMITED

2

Name

Designation/Status

Rcsident of State

Name

Designation/Status

Rcsidenl of State

Namc

Dcsignation,/Starus

Rcsident of State

CANON JAYPRAKASH PATEL

MANAGING DIRECTOR

Gujarat

FALGUNI CANON PATEL

DIRECTOR

Gujarat

JAYPRAKASH MANEKLAL PATEL

DIRLCI'OR

Gujarat

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In recognition and appreciation of your commitment to secure theinternational supply chain and in compliance with the WCO's SAFE Frameworkof Standards, lndian Customs certifies your esteemed organization in itsAuthorised Economic Operator (AEO) programme under CBIC Circular Number33/2016-Customs, dated 22.07 .2076.This certificate is valid uplo 14.O7.2022. o

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Directorate of I nternationa I Customs

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LIST i )A

ANNEXTURE I

tt THE SITES/PIANTS/BRANCHES OF THE COlv,'hv t-

SR NO. NAME AND ADDRESS

ACTIVITY

HANDALD/OPERATI

ON CARRIED OUT

CONTACT PERSON DESIGNATION PHONE NUMBER

1,

LOXIM IN DUSTRIES LIMITED

ONE 42South Tower 9th Floor

Ambli Bopal Road

Near Jayantilal Park BRTS Stop

Bodakdev - Ahmedabad 380054

GU]ARAT, IN DIA

Ragisterd Office Rakesh Sha hSr. Manager lnd irect

Taxes70690 01455

2


Plot No. 184-185/2, Sanand-Viramgam Highway,Iyava Village, Sanand 382 110.District:Ahmedabad,GUJARAT, INDIA

Factory Arjunbhai Sr. Store lncha rge 8511714903

3


Plot No. 105/109-A, ECPL Canal Road,Ekalbara Village, Padra 39t 440.District : Vadodara,GU,IARAT, IN DIA

Factory Hardik Patel5r. Executive (Store

and Dispatch)97236 37808

4


Gate No.61, Pardesh i Vasti,Nr. poona Sahakari Bank,Pune Nasik Highway, Chimbli Pata,Pu ne - 41210 5

MAHARASTA, lNDIA

Wa rehouse Rajend ra Store lncharge 79721,95807

5


108, Santro City,Chembarambakkam,Chennai 600124TAMILNADU, INDIA

Warehouse Pra bha karn Store lncha rge 96772 86631,

6


Shop N o.02, Villa ge-Asa lwas, N r.Yadav Settring Store

NH No.08, Delhi-Jaipur Road, Dist-Rewari

Bawal 123501

HARYANA, INDIA

Wa rehouse Kashmir Sin ha Store lncharge 80008 28244

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