Corporate Membership Form

CORPORATE MEMBERSHIP Application Form

For Corporate:

Patron Member Donor Member (One-time Fee) Donor Member (Annual Fee)

[√] Please √ applicable

1. Organization :

Name*

2. Organization Head Office Address:

Phone Number*:

E-mail *:

Website *:

Address*:

City*:

State*:

Pincode*:

3. Organization Business Area(s) :

Organization Business Area(s) *

4. Size of Organization :

4.1 Annual Turnover [Rs Crores]: *

4.2 Total Man Power [Number] : *

5. Nominated Person with Designation:

Nominated Person with Designation *

6. Address of nominated person for correspondence:

Mobile Number*:

E-mail (in CAPITAL)*:

Address*:

City*:

State*:

Pincode*:

7. Subscription details:

      Rs 2,50,000 (Incl. GST) One time for Patron Member (If the Annual Turnover is > Rs. 5 Crore)
      Rs 15,000 per annum (Incl. GST) for Donor Member (If the Annual Turnover is < Rs. 5 Crore)
      Rs 1,50,000 One time (Incl. GST) for Donor Member (If the Annual Turnover is < Rs. 5 Crore)

8. Declaration by the applicant

I agree to abide by the Articles of Association of the Institute and to promote its aims and objects.

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