MEMBERSHIP APPLICATION FORM
PACKAGING INDUSTRY ASSOCIATION OF INDIA
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Registered & Head Office: 4, Upper Ground Floor, Samruddhi Venture Park, Marol MIDC Industrial Estate, Andheri (E), Mumbai - 400 093. INDIA.
Tel: +91 – 22 – 6150 9833 / 6150 9831 / 2832 7220| Fax: +91 – 22 – 2825 0414 | piai@vsnl.net / packagingassociation@vsnl.net | www.piai.org
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Name of the Company / Organisation
Name and Designation of the Applicant
Contact Details: Tel:
Mobile No:
E-mail:
Fax:
E-mail:
Fax:
Name and Contact Details of the Other Directors / Partners /
Marketing Head
Contact Details: Tel:
Mobile No:
Nature of Business
 Manufacturing  Exporters  Importers  Buyers
 Trading  Service Sector  Any other_________
Products / Machinery / Equipments / Materials
(manufacturing & trading)
Packaging Sector / Category
Please Specify the sectors, looking for promotion or
business opportunity.
Company Registered as a
 Proprietorship
 Public Limited
 Multi-National
 Partnership  Private Limited
 Limited Liability Partnership
Any Other______________
Date of Commencement of Business:
Registered Office Address OR Head Office (Permanent)
Factory Address
Tel. 1.
Tel. 2.
Tel. 1.
Fax:
E-mail:
Fax:
Website
E-mail:
Turnover of Company for last 3 years (in Rs. in Lakh)
Previous Year 2
Previous Year 1
Last Year
Do you Export? YES NO
If yes , provide details of the Products and Countries
Do you need support for Export promotion
Do you Import any Products / Machinery / Raw Materials?
If Yes, Provide the details:
Are you looking support for Joint Ventures / Technology
Transfers/ Contract Manufacturing / Collaborations
Do you require support for Marketing or Distributorship?
Do you want to add your company in Packaging Industry
Directory of Association?
YES NO
Are you looking Finance or Investment for Expansion or any
other Business Activity?

June 2015
–2–
MEMBERSHIP - CATEGORIES & FEE
Sr.
No
Membership
Category
Who Can Apply for Membership?
Annual
Membership Fee
1
Small Enterprises
Manufacturers, Exporters, Importers, Suppliers, Research
Institutes, Service Sector, Distributors and Suppliers with
Turnover up to 20 Crore
+Service Tax@14.5%
(Payable Amt. Rs. 11,450/-)
2
(A) Medium Enterprises
Manufacturers , Exporters, , contract Manufacturer, Importers,
Technology Providing Companies, Service Sector with
Turnover between 20 Crore – 75 Crore
+Service Tax@14.5%
(Payable Amt. Rs. 22,900/-)
3
(B) Medium Enterprises
Manufacturers, Exporters, contract Manufacturer and Service
Sector with Turnover
between 75 Crore – 250 Crore
+Service Tax@14.5%
(Payable Amt. Rs. 51,525/-)
4
Corporate &
Multinationals
Manufacturers and contract Manufacturer with Turnover
250 Crore and above
5
Associate
Packaging Consultants, Professionals, Experts
6
Patron
Individuals and CEO of International Organisations, Corporate,
Multi-National Companies.
Rs. 10,000/-
Rs 20,000/-
Rs 45,000/-
Rs 75,000/+Service Tax@14.5%
(Payable Amt. Rs. 85,875/-)
Rs 7,500/+Service Tax@14.5%
(Payable Amt. Rs. 8,588/-)
Rs 1,50,000/+Service Tax@14.5%
(Payable Amt. Rs. 1,71,750/-)
I am applying for Membership under the Category of _______________ of the Association and submitting herewith true and correct
information about my Company and Business Activities. I / We agree to abide by the rules and regulations of the Association as
amended from time to time.
The Membership Fee by Bank Transfer / Cheque / Demand Draft No. __________________Dated ____________ for Rs.______________/Name of the Bank ______________________________________ Branch ______________ (favoring “Packaging Industry Association of
India”, Mumbai”).
Yours sincerely,
Applicant's Signature (with Company Seal) Name: __________________________ Designation: ________________ Date: ___________
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Please enclose the following along with Membership Application Form
 Membership Fee by Cheque / D. D/ Bank Transfer (no cash)
 Photocopy of Registration Certificate of Company
 Request on Company Letter Head for obtaining Membership
 One Photograph of the Principal Applicant
 Two Sets of Company Profiles (Print & Soft Copy)
Important Notes / Terms & Conditions:
 Acceptance / refusal of membership will be at the sole discretion of the Managing Committee of the Association.
 The Association reserves its rights to reject or hold any application without assigning any reason.
 No refund will be given for cancellation of any type of Membership for any reason whatsoever.
 Incomplete Application Forms and those do not fulfill the above requirements will not be accepted.
 Honorary Membership is restricted and by Invitation only.
 Individual Members should provide testimonials of professional achievements in the Sector
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(For office use only)
Membership Approval
Membership Category __________________________ Membership No. _________________ Date of Approval ____________________
Recommended by _______________________________________Approved by _____________________________________________
June 2015