Online Application for Membership of the Association

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I / We desire to enroll myself / ourselves as Member of your Association. I / We agree to abide by its Rules & Regulations and to observe its Bye – Laws in force from time to time.

Personal Details :

*Name of Industry :

Contact Details :

Factory No. :
Fax No. :
Mobile No. :
Phone No. :
Address :
City :	Pin :
Web Site :
*e-mail ID :
*Date of Establishment :
*Type of Organization :
*Class of the Membership desired :

Details of Plant :

Products Manufactured :
Daily Production capacity :
Annual Production Capacity :
Registration No. : (SSI / DGTD License)

Names & Addresses of Representatives in Order of :

1. First Representative :
Name :
Mobile No. :
Phone No. :
Address :
City :	Pin :
e-mail ID :
2. Second Representative :
Name :
Mobile No. :
Phone No. :
Address :
City :	Pin :
e-mail ID :

Names & Addresses of Partners or Board of Directors :

1. First :
Name :
Mobile No. :
Phone No. :
Address :
City :	Pin :
e-mail ID :
2. Second :
Name :
Mobile No. :
Phone No. :
Address :
City :	Pin :
e-mail ID :

Apply :

Apply Date :

	Accept Terms & Conditions

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