ADMISSION FORM FOR INTERNATIONAL MEMBERSHIP

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 Business / Major Activities * Select Company Type Advertising and Public relations Aerospace and Airlines Agriculture, Horticulture Apparel, Clothing and Textiles Association Automobiles, Automotive Products Chemicals Computer Software Computer Training and Education Consumer Electronics Construction & Real Estate Courier, Cargo & Transport E-Commerce Electrical Equipment and Appliances Electronics Energy, Oil, Gas, and Electricity Exports-Imports Banking, Finance and Commerce Food and Beverages Furniture Computer Hardware, Peripherals etc. Health and Pharmaceuticals Hospitality(Hotels, Tours etc.) Household Goods, Home Appliances Industrial / Engineering Insurance Jewellery and Watches Logistics Machinery and Industrial Equipment Market Research Agencies Media-Audio Visual Medical and Healthcare Media, Broadcasting and Publishing Event Management Internet Publishing(Print , CD ROM, etc.) Metals and Mining (Non-Ferrous) Public Relations Office Automation and Supplies Paper and Printing Recreation and Entertainment Retail Industry Services Shipping and Marine Social(NGOs, etc.) Telecom and Communications Others

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) *

Corporate Packages Payment * Select Corporate Package Subscription Fees for Corporates USD 2500.00 + Taxes Extra as applicable => Rs. 0.00 Subscription Fees for other then Corporates USD 1000.00 + Taxes Extra as applicable => Rs. 0.00 Payment can be done through RTGS- 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 – 1100 => Rs. 0.00

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