ADMISSION FORM FOR PROFESSIONAL MEMBERSHIP

Name of the Entity *

Name of the Managing Partner/Director *

List of other Partners / Director enclosed
Yes No

Name and Designation of Representative / Nominee *

Address for Correspondence *

Tel *

Fax

E-mail *

Details of Branch (es), if any

Type of Entity *
Company Medical Practitioners / Doctors Lawyers / Legal Counsels LLP Chartered Accountants Company Secretaries Management Accountants Chartered Engineers Actuarial Valuers Architects Management Marketing Consultants Others

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

Membership of other Chambers/Associations, if any

GST Registration Number *

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

Corporate Packages Payment * Select Professional Membership Package Rs. 25,370/- (Subscription fee Rs. 20,000 + One time Admission Fee Rs. 1500 + 18% GST) => Rs. 25370.00

Enter displayed text*

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