MEMBERSHIP APPLICATION FORM
STICK
PHOTO
HERE
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Registered & Head Office: 3, Upper Ground Floor, Samruddhi Venture Park, Marol MIDC Industrial Estate, Andheri (E), Mumbai – 93. INDIA.
Tel: +91 – 22 – 6150 9800 / 6667 4444 | Fax: +91 – 22 – 2825 0414
Email: smechamberofindia@vsnl.net | smechamber@vsnl.net | smechamberofindia@gmail.com | Website: www.smechamberofindia.com
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Name of the Company
Name of the Chairman / Managing Director
Contact Details: Tel:
Mobile No:
E-mail:
Name and Designation of the Alternative Executive
Contact Details: Tel:
Mobile No:
E-mail:
Name of the Export or Marketing Manager
Contact Details: Tel:
Mobile No:
E-mail:
Fax:
Name and Contact Details of the Other Directors / Partners:
Business Activities:
Company Involved in :
 Manufacturing  Service Industry  Infrastructure  FMCG  Exports  Automobiles  Financial Institutions
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 Telecommunication  IT  Education  Hospitality  Entertainment  Realty Sector  Others _________________
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Company Registered as:
 Private Limited  Public Limited  LLP  Proprietorship  Partnership Firm  Others _________________
Date of Incorporation:
Registered and Head Office Address
Factory OR Regional Office Address (If any)
Tel. 1.
Fax:
Tel. 1.
Fax:
Mobile No:
E-mail:
Website
E-mail:
Turnover of Company for last 3 years (in Rs. Lakh)
Previous Year 2
Previous Year 1
Last Year
Management
Skilled
Unskilled
Total Investment in Plant and Machinery: (Rs. Lakh)
Strength of the Company (Employees)
Are you looking support for enhancement of business
in domestic market or specific sector or Government /
PSU Procurement? Please provide detailed proposal.
Do you need our support to start or enhance Export?
(Details of the Products and Specific Market /
Countries):
Do you Import any Products? (Details of the Products
and specific Countries):
November 2015
Are you interested for Joint Ventures / Technology
Transfers / Contract Manufacturing tie ups with foreign
companies?
Are you looking for finance or investment for business
growth or expansion?
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What kind of Advisory Services and Assistance
required from the Chamber?
Are you facing any business problems and issues with
specific sectors?
MEMBERSHIP CATEGORIES & FEE
Sr.
No
I
II
III
Membership
Category
Who Can Apply for Membership?
Small Industries
(Turn Over less than Rs
25 crore)
Manufacturers, Service Sector, Infrastructure,
Energy, IT, Exporters, Importers, Distributors,
Education, Marketing, Franchisee, Financial
Institutions, Business Consultants, Advisory
Firms, Research, Entertainment, Tourism, Event
Management, Individual Entrepreneurs and any
other registered business sectors.
Medium Industries
(Turn Over Above Rs 25
crore to Rs. 200 crore)
Sectors as above
Companies registered as Private Limited, Public
Limited & Multinational Companies and LLP
Corporate
Sectors as above
Companies registered as Private Limited, Public
Limited & Multinational Companies, LLP, Banks &
International Organisations
(Turn Over above Rs.200
crore)
Annual Membership
(12 months)
Life Membership
( 7 years)
Rs. 7,500/-
Rs.45,000/-
+Service Tax@14.5%
(Payable Rs .8,588/-)
+Service Tax@14.5%
(Payable Rs.51,525/-)
Rs.30,000/-
Rs.1,50,000/-
+Service Tax@14.5%
(Payable Rs.34,350/-)
+Service Tax@14.5%
(Payable Rs.1,71,750/-)
Rs.50,000/+Service Tax@14.5%
(Payable Rs.57,250/-)
By invitation
I am applying for Membership under the Category of ______________________ of the Chamber 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 Chamber as amended
from time to time.
The Membership Fee by Cheque / Demand Draft No.________________Dated_____________________for Rs.____________________/Name of the Bank _______________________________________________________ Branch ________________________________
(favoring “SMALL & MEDIUM BUSINESS DEVELOPMENT CHAMBER 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
 Photocopy of Certificate of Company Registration
 Request on Company Letter Head for obtaining Membership along with Company Profile & Photograph of Applicant
Important Notes / Terms & Conditions
 Acceptance / refusal of membership will be at the sole discretion of the Managing Committee of the Chamber.
 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.
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(For office use only) Membership Approval
Membership Category __________________________ Membership No. _________________ Date of Approval ____________________
Authorised Signatory_____________________________________________
November 2015