MEMBERSHIP APPLICATION FORM
MAHARASHTRA INDUSTRIAL AND
ECONOMIC DEVELOPMENT ASSOCIATION
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Registered & Head Office:
4 Upper Ground Floor, Samruddhi Venture Park, Seepz Central Road, MIDC Industrial Estate, Andheri (E), Mumbai:- 400 093
Tel: 022 – 6150 9800 / 6667 4444 | Fax: 2825 0414 | Email: mieda@vsnl.net | Website: www.mieda.in
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INFORMATION OF THE APPLICANT
Membership Category:
Name of the Company:
Name of the Applicant:
(Chairman and MD or CEO or Director or Executive)
Contact Details of Applicant:
Tel:
Designation
E-mail:
Mobile No:
Name of the Executive for Coordination:
Contact Details
Tel:
Designation
E-mail:
Mobile No:
Website
E-mail:
Registered and Head Office Address:
Tel.
Date of Incorporation:
Fax:
Company Registered as:
 Public Limited  Private Limited  LLP  MNC
 Partnership  Others
Category of the Company:
Main Business Activities:
Allied Business Activities:
Turnover of Company for last 3 years (in INR/Lakh )
Previous Year 2
Previous Year 1
Last Year
Export Turnover of Company for last 3 years (in USD)
Previous Year 2
Previous Year 1
Last Year
Presence in other States / Abroad:
Export Performance:
Any joint venture or contract manufacturing tie-ups with
Indian or Foreign companies?
Business Achievements of the Company:
Innovations / Inventions :
Recognitions and Awards:
Assistance required & expectations from the Association:
Are you interested in our specific support for business
growth and expansion?
Are you looking for Joint Venture, Technology Transfers,
Contract Manufacturing Tie-ups or Strategic Business
Alliances? (Please provide details)
Any support required for obtaining Bank Finance, FDI,
Venture Capital and Private Equity?
November, 2015
Any issues or problems faced by your company
(pertaining to State or Central Government Departments or
other Agency)?

Are you looking for any supply or procurement from other
Companies or SMEs?

Are you interested to support the activities of the
Association? (If so, in what manner?)

Specific Interest in the activities of the Association:

MEMBERSHIP - CATEGORIES & FEE
Sr.
No
Membership
Category
Who Can Apply for Membership?
I
Mid-Corporate
Membership
(Turnover upto 300 cr)
Annual
Manufacturing, Infrastructure, Realty, Power, Banking and Finance, Food
Processing, IT, Ports, Telecommunication, Hospitality, Logistics, Industrial
Parks, Education, Tourism, Exports/Imports, Healthcare, Automobiles,
Entertainment or Mid-Sized Companies involved in any other business
activities.
Corporate Membership
(Turnover above 300
cr) Annual
Manufacturing, Infrastructure, Realty, Power, Banking and Finance, Food
Processing, IT, Telecommunication, Hospitality, Ports, Logistics, Industrial
Parks, Education, Tourism, Exports, Healthcare, Large - Sized Companies,
Corporate, FIs, MNCs, PSUs, International Organisations involved in business
activities or any other registered business activity
SME Membership
(Turnover upto 100 cr)
Annual
Manufacturing, Infrastructure, Realty, Power, Banking, Finance, Food
Processing, IT, Ports, Logistics, Industrial Parks, Agriculture, Education,
Tourism, Exports/Imports, Telecommunication, Hospitality, Healthcare,
Automobiles, Service Sector, Research, Marketing, Franchising or any other
registered SMEs or business group except professional firms.
(Payable Rs.11,450/-)
IV
Patron Membership
(By invitation)
For a period 5 years
Chairman, MD, CEO, Directors of Corporate, FIs, MNCs, PSUs, International
Organisations & SMEs or any high profile Individuals from Corporate or
Business Activity, Research, Finance, Science & Technology.
For Fee and
Application Form
Please Contact
V
Associate Membership
Annual
Not for profit organisations, Trade Promotion Associations, Chambers of
Commerce and Councils working for the development of Economic and
Industrial Sector as well as professionals and consultancy firms or individual
+Service Tax@14.5%
II
III
Annual
Membership Fee
Rs.30,000/+Service Tax@14.5%
(Payable Rs.34,350/-)
Rs.60,000/+Service Tax@14.5%
(Payable Rs.68,700/-)
Rs.10,000/-
+Service Tax@14.5%
Rs.8,000/(Payable Rs.9,160/-)
Membership Category _______________ and Membership fee paid by Cheque / DD No __________ dated _______ for Rs.
____________drawn on Bank____________________________ favoring “MAHARASHTRA INDUSTRIAL & ECONOMIC DEVELOPMENT
ASSOCIATION”, payable in Mumbai.
Yours sincerely,
Applicant's Signature (with Company Seal) Name: __________________________ Designation: ________________ Date: ___________
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
Request on Company Letter Head for obtaining Membership and specific support and assistance required from the Association.

Photocopy of Registration Certificate of the Company / Business
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Profile of the Applicant along with Photograph
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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
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No refund will be given for cancellation of any type of Membership for any reason whatsoever
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Incomplete Application Forms and those do not fulfill the above requirements will not be accepted
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Annual Membership is for a period of 12 months from the date of enrollment.
For office use only - Membership Approval
Membership Category ___________Membership No.________ Date of Approval ___________
Authorised Signatory___________
November, 2015