INDIA INTERNATIONAL TRADE CENTRE (IITC-INDIA) Registered & Head Office: 3, Upper Ground Floor, Samruddhi Venture Park, Marol MIDC Industrial Estate, Andheri (E), Mumbai – 400 093. Tel: +91 – 22 – 6150 9800 / 6667 4444 | Fax: 022 – 2825 0414 | Email: iitcindia@vsnl.net | iitcinfo@vsnl.net | Website: www.iitcindia.com --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -- MEMBERSHIP FORM Date: ___ / _____ / ____ Information of Company Name of the Company / Organisation Name of the Principle Applicant Designation Name of the Alternative Contact Person Designation : Type of Company / Registration Company / Business Registration No. Office Address E-mail: Cell No.: phone : Fax: Website: Date of Commencement of Business Business Activities Business or Industry Category Business Turnover (Last Three Years) Total Investment in Plant and Machinery: (Rs. Lakh) Total Number of Employees Are you looking for finance, Investment or ECB? Are you interested for International Collaborations or strategic business partnership with the overseas companies? Are you looking for Joint Ventures / Contract Manufacturing / Tie-ups Do you want to Export any Products (If yes give details about Products & Specific Countries) Do you want to Import any Products (give details about Products & Specific Countries) Principal Banker Any other Business interest Do you need any other Support Services from us (give details) November 2015 We confirm that the above furnished information is true. We agree to abide by the rules and regulations of the Centre as amended from time to time. Name: _______________________________________ Yours sincerely, Designation: __________________________________ Applicant’s Signature (with Company Seal) MEMBERSHIP CATEGORIES & FEES Sr. No. I II III IV Who can become Member Public Limited, Large Corporate, Banks & Financial Institutions, Co-operative and Government Agencies .(Turnover above 400 Cr) Medium Sized manufacturing or Service Industries, Exporter or Importers, Business organisation, Distributors, Marketing, Franchisee, Infrastructure, Energy, Reality or any other registered business sectors.(Turnover above 50 Cr to 400 Cr) Small manufacturing or Service Industries, Business or Trade organisation, Professionals, Individual Entrepreneurs, Distributors, Marketing, Franchisee, Business Consultants, Advisory Firms and any other registered business sectors.(Turnover upto 50 Cr) Multinational Companies, Export House, Foreign Financial / Educational Institutions and Banks Membership Categories Corporate Medium Industry Annual Fee Rs. 50,000/+Service Tax @ 14.5% (Payable Rs.57,250/-) Rs. 20,000/+Service Tax @ 14.5% (Payable Rs.22,900/-) Small Industry Rs. 10,000/+Service Tax @ 14.5% (Payable Rs.11,450/-) Multi Nationals & Overseas Rs. 75,000/+Service Tax @ 14.5% (Payable Rs.85,875/-) Important Notes / Terms & Conditions: Membership Fees to be paid by Cheque / bank transfer in favour of "INDIA INTERNATIONAL TRADE CENTRE, Mumbai Company Profile (Print & Soft Copy) Photocopy of IE Code or Company / Business Registration Certificate 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. Acceptance / refusal of membership will be at the sole discretion of the Managing Committee of IITC-INDIA. (For office use only) Membership Approval Membership Category __________________________ Membership No. _________________ Date of Approval ____________________ Recommended by _______________________________________Approved by _____________________________________________ November 2015