APPLICATION FOR MEMBERSHIP The Secretary,Dear Sir,We wish to be enrolled as member of your association and undertake to abide by its memorandum and Articles: Date of Application: Name of Organization: Address: Phone: Fax: Factory: Phone: Fax: Email: Website: Date of Establishment: N.T.N No.: S.T. No.: Name of Proprietor/ Partner/ Director/ CEO: Name and Designation of the Authorized Representative on the General Body of the Association: Cell No of the Representative:: Email: Whether Industrialist I Trader: Nature of Industry I Trade: Signature Please sign or upload a picture of your signature Name: C.N.I.C No.: Designation: Stamp Send Maximum upload size: 5 MB. Allowed file formats: JPG, PNG, PDF. Maximum upload size: 5 MB. Allowed file formats: JPG, PNG, PDF.