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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 :
Select
Individual Association
Co-operative Society
Partnership firm
Joint Stock Company
*
Class of the Membership desired :
Select
Ordinary
Life
Patron
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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