MEMBERSHIP APPLICATION FORM FOR OVERSEAS SMALL & MEDIUM BUSINESS DEVELOPMENT CHAMBER OF INDIA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - 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 / 2927 1750 Email: smechamberofindia@vsnl.net | Website: www.smechamberofindia.com - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - Name of the Company Name and Designation of the Applicant 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 Business Activities Type of Company Manufacturing Exporter Importer Service Provider Association Others Status of Company Date of Commencement: Registered Office Address (Permanent) Factory OR Other Branch 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 USD ) Previous Year 2 Do you Export to India? YES NO Details of the Products Previous Year 1 Last Year Do you need our support to identify buyers? Do you Import any Products from India or other countries? ( Please provide details) Do you provide any other Services? Are you interested for Joint Ventures / Technology Transfers / Contract Manufacturing tie ups with Indian SME Do you want to add in SME Connect Directory? YES NO What kind of Advisory Services and Assistance needed from the Chamber? YES NO If yes, provide details April 2015 - 2 - MEMBERSHIP - CATEGORIES & FEE Sr. No Membership Category I II Who Can Apply for Membership? Annual Membership Fee SMEs Small & Medium Entrepreneurs, Manufacturers, Exporters, Importers, Professionals, Buying Agents, Distributors, Suppliers, Service Providers, Individuals, Entrepreneurs USD 500 Corporate Public Limited & Multinational Companies, Investment Bankers & Financial Institutions and International Organisations USD 2000 III Associate Organisation Chamber of Commerce, Associations, Government Agencies, NGOs and Other Local Organisations USD 300 IV Patron Individuals / Organisation can apply for Patron Membership ----- V Honorary By Invitation Only Membership fee payment details 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 IFSC Code : HDFC0000212 MICR No : 400240037 Note: Macro Corporate Services Pvt Ltd. is authorized fees collection agent for SME Chamber of India Yours sincerely, Applicant's Signature (with Company Seal) Name: __________________________ Designation: ________________ Date: ___________ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - Please enclose the following along with Membership Application Form Membership Fee by Cheque / D. D (no cash) Photocopy of Company / Business Registration Certificate Request on Company Letter Head for obtaining Membership Two Sets of Company Profiles (Print & Soft Copy) Two Photographs of Applicant Important Notes / Terms & Conditions Acceptance / refusal of membership will be at the sole discretion of the Managing Committee of the Chamber. The Chamber 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. Membership is for the purpose of obtaining general services. Certain services will be defined on the requirement of the Company and will be chargeable according to nature of services - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - (For office use only) Membership Approval Membership Category __________________________ Membership No. _________________ Date of Approval ____________________ Recommended by _______________________________________Approved by _____________________________________________ April 2015