Please fill in your details here

Name and Address :*

Name and address of the
firm for communication :*

Name of Partners/Directors/Proprietor :*

Authorized person whom to contact :*

Phone (office) :*

Phone (residence) :

Email :*

Fax No. :

Items exported with brief details of trade of industry indulge in :

Year from which export trade started :

Export figures in last 2 years :

I/We am/are already member/members of the organizations :

Pan No. :

Import & Export No. :

The membership fee cheque no.        dated  

drawn on for Rs. 3000/- / Rs. 12500/- (Rs. 500/-

Admission fee+ 2500 Annual fee and Rs. 12000/- for life member is enclosed. This is subject to change by AGM.