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Application Form
GENERAL MEMBERSHIP APPLICATION FORM
Name of the Organisation:
*
Name of the Applicant:
*
Designation:
*
Mobile No:
*
Full Address:
*
PIN:
*
Landline 1:
Landline 2:
Fax:
Email ID:
*
Website:
Company Turnover (in lakhs):
*
Constitution of Business:
*
Proprietorship
Partnership
HUF
Government
PSU
Company (Private)
Company (Public)
LLP
Other
Year of Establishment:
*
GST Number:
Import Export Code:
PAN:
*
TIN:
DIN:
Main Line of Business:
*
Manufacturing
Trade
Services
IT
Exports
Imports
Business / Industry Mainly:
Contact Person / Personal Assistant Name:
*
Addl. Service Required:
Certificate of Origin:
Yes
No
Visa Recommendation:
Yes
No
Payment Mode:
*
Cash
DD
BC
Cheque
Bank Name:
*
Branch:
*
Payment Date:
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Declaration:
*
Company Logo (Optional):
Applicant Image (Optional):