ASSOCHAM | Knowledge Architect of India

We would like to apply for admission as Institutional Member of ASSOCHAM

Name of Institution

Name of the Chairman/President/Director

List of other Director enclose
Yes No

Name and Designation of Representative / Nominee

Address for Correspondence

Tel *

Mobile*

Fax

Web

E-mail

Details of Branch (es), if any

Whether a Institutions is a Not for Profit Earning Institutions, Organisations, Boards, Bodies, Societies
Yes No

Year of Incorporation / Establishment

Nature of Activities engaged to

Membership of other Chambers/Associations, if any

GST Registration Number * Please enclosed GST Certificate *

Turnover as per last Audited Financial (Enclose Audited Financial Statements)

Cheque No./UTR No

Date

Drawn on

This membership will be valid till 31st March 2023.

NOTE:

1) Offline Payment – Through Cheque / DD - should be made in favour of 'ASSOCHAM' Payable at New Delhi.
2) NEFT/RTGS :Bank details as mentioned below.
Beneficiary Name :- The Associated Chambers of Commerce and Industry of India (ASSOCHAM)
Bank Name :- HDFC Bank, 4/48, Malcha Marg Shopping Complex Chankyapuri, New Delhi - 110021
Saving Bank A/c :- 05031110000062
IFSC Code :- HDFC0004711
MICR Code :- 110240432
SWIFT Code: HDFCINBB

We would like to apply for admission as International Member of ASSOCHAM

Name of Corporates Entity

Name of Other then Corporates Entity

Name of the Chief Functionary
(Chairman /Managing Director/ CEO /President /SG etc.)
Yes No

Name and Designation of Representative / Nominee

Address for Correspondence

Tel *

Fax

E-mail *

Liaison Office in India, if any

Tel *

Fax

E-mail *

Year of Incorporation / Establishment

Nature of Major Activities

Manufacturing / Services

Industry Sector

Government Undertaking / Professional Firm

Name of Group Companies, if any

Membership of other Associations, if any

Turnover as per last Audited Financial (Enclose Audited Financial Statements)

This membership will be valid till 31st March 2023.

NOTE:

Admission Form For Patron Membership

Name Of the Company

Address

Tel

Mobile

Fax

Email *

Website :

Name Of Chairman

Name Of Managing Director

Name Of Chief Executive officer

Annuals Turnover value

Annual Turnover (previous year) (Rs. in Crores)

Business Name

GST Registration Number* Please enclosed GST Certificate *

Name of Nominee on the Managing Committee*

Nominee Mobile*

Nominee Email*

Nature of Business

Dealing in Specific Sector/Industry

We would like to apply for Patron Membership of ASSOCHAM and enclose Rs. 4,50,000/- plus 18% GST to be added being the annual Membership fee payable by us

We would like to apply for Patron Membership of ASSOCHAM and enclose ourNEFT/RTGS/UTR/ChequeNo

Date

Audited Balance Sheet is enclosed
Yes No

This membership will be valid till 31st March 2023.

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We would like to apply for admission as Ordinary Member of ASSOCHAM

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We would like to apply for admission as professional Member of ASSOCHAM

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We would like to apply for admission as Institutional Member of ASSOCHAM

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We would like to apply for admission as International Member of ASSOCHAM

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Admission Form For Patron Membership

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ASSOCHAM Headquarters