Membership applied for
Name of Organisation
Nature Of Organisation
Name of Proprietor/Partners/Directors
Year of Establishment
Name of the Representing Person:
Representator's Designation:
Full Address of Organisation
Photo of Representative (jpg)

Upload GST Certificate (jpg / pdf)
Contact number of Office
Fax Number
Mobile (Representative)
Residence no. (Representative)
I hereby declare that I have understood the rules and regulations of the association and will abide by the same. All information given in this application are true to the best of my knowledge and belief.