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: +91 – 22 – 2825 0414 Email: iitcindia@vsnl.net | iitcinfo@vsnl.net | Website: www.iitcindia.com ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---- OVERSEAS MEMBERSHIP APPLICATION FORM Date:_____/______/______ Applicant Information Name of the Company / Organisation Name of the Applicant Designation Name of the Alternate Person Designation : Office Address Address No. 2 (if any) Contact Details Tel. 1. 2. Fax: Hand Phone No.: E-mail: Web Site: Business Information Company Registered as Business Activity Product (s) / Service(s) Business Turnover in US $. (Last Three Years) If, you are exporter? provide Details of Products If, you imports any product, please give the details If you are in Service Sector? (provide details) Office / branch in your country & abroad Do you entered into any Joint Ventures / Contract Mfg. / Tie-up(s) (Please give the details) Contd....2 June 2015 -2- Are you looking for Joint Ventures / Contract Mfg. / Tie-up(s) with the Indian Companies (Please give the details or provide project report) Other Business interest Your Expectations and Supports from organisation. I / We confirm that the above information is true. I / We agree to abide by the rules and regulations of the organisation. I / We assure that I / We will represent and participate in the various activities of the organisation. Yours sincerely, Signature with Company Seal Name: __________________________________________ Designation: __________________________________________ (For office use only) Ap pro val Membership Category___________________Membership No. ____________ Approved by ______________Date of Approval ____________ OVERSEAS MEMBERSHIP CATEGORIES & FEES Sr. No. Who can become Our Member? Membership Type Fees I. Small - Medium Enterprise & Industries, Exporters - Importers, Entrepreneurs, Traders, Distributors, Professionals, Consultants, Commission Agents, Students, Government Officials, Representative of NGO’s & Other Organisation, Manufacturers, Buying-Selling Agents, Chambers, Trade Promotion Organisation, Association and Individuals Ordinary (Annual) USD $ 1000 II. Public Limited & Multinational Companies, Government Agencies, Banks & Financial Institutions, Co-operative Sector and International Organisation Corporate (Annual) USD $ 2000 III. Public Limited & Multinational Companies, Government Agencies, Banks & Financial Institutions and International Organisation and individuals. Patron Membership USD $ 10000 Please enclose along with membership form: Membership Fees Applicant’s Latest Photographs Two Sets of Company Profile (Print & Soft Copy) Photocopy of any registration certificate with local & federal government, any other registration of your business and company Important Note / Terms & Conditions: Acceptance / refusal of membership application will be at the sole discretion of the Managing Committee. The Organisation reserves the right to reject or hold any application without giving any reason thereof. No refund will be given in case of cancellation of membership for any reason whatsoever. All payments are to be made in favour of “Macro Corporate Services Pvt. Ltd., Mumbai, India (Authorized Payment Collection Agency) Mode of Payments Wire Transfer Details: Company Name : Macro Corporate Services Pvt Ltd. Bank A/c No : 02122000004814 Bank Name : HDFC Bank Ltd. Bank Address : Ground Floor, Conwood House Yashodham, Central A K Vaidya Marg Mumbai – 400063, Maharashtra, INIDA FSC Code : HDFC0000212 / MICR No : 400240037 Note: Macro Corporate Services Pvt Ltd. is authorized fees collection agent for India International Trade Centre (IITC-INDIA) June 2015