ONLINE APPLICATION FOR MEMBERSHIP OF THE ASSOCIATION 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 SELECTIndividual AssociationCo-operative SocietyPartnership firmJoint Stock Company *Class of the Membership desired SelectOrdinaryLifePatronRequired Details of Plant Products Manufactured Daily Production capacity Annual Production Capacity Registration No (SSI / DGTD License) GST No MSME No 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 Date Accept Terms & Conditions Δ