Membership applied for SelectAssociate Member Name of Organisation Nature Of Organisation SelectSole Proprietary ConcernPartnership FirmPrivate Limited CompanyPublic Limited Company 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 Service Tax Reg Certificate (jpg / pdf) Contact number of Office GST Number E-mail Website 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. [recaptcha]