Pimpri Chinchwad Chamber of Industries, Commerce, Services and Agriculture.

MEMBERSHIP APPLICATION

To,
The President, P.C.C.I.C.S.A...
Akurdi Pune - 411035.

Dear Sir,
I/WE here by apply for Trustee/Managing Committee/General Membership of Pimpri Chinchwad Chamber of Industries, Commerce, Services and Agriculture on behalf of our Association/Company/Individual with the particulars as follows:

Name of Applicant: M/S. / Mr. Mrs. / Smt.:

Status:

Address:

Phone No.:

Mobile No:*

E-mail:*

Website:

If Association / Company / Authorized Personâ€™s Name:*

Designation Of Applicant:

Name of Company / Association:*

Office Address of Applicant:

Phone No.:

Mobile No:*

E-mail:*

Residence Address of Applicant:

Phone No.:

Mobile No:*

E-mail:*

To KNOW ABOUT YOUR BUSINESS

NAME OF COMPANY: Partnership / Prop. / Pnt. Ltd. / Ltd.:*

NAME OF BUSINESS:*

OFFICE ADDRESS:

Phone No.:

Mobile No:*

BIRTH DATE:*

DURATION OF BUSINESS:

AGE:

YEAR:

SEX:

EDUCATION QUALIFICATION:*

YEARLY TURNOVER OF YOUR COMPANY: *

NO. OF EMPLOYEE:*

NO. OF UNITE / FACTRIES:*

YEARLY TURNOVER OF YOUR GROUP OF COMPANIES:*

DETAIL ABOUT YOUR ASSOCIATION

FULL NAME OF ASSOCIATION:*

NATURE OF ACTIVITIES:*

REGISTRATION NO.:*

DATE OF FORMATION:*

JURISDICTION:*

NUMBER OF MEMBERS:*

KIND OF REGISTRATION:

Association must have registration under co. operative Societies Act & Public Trust Act
VERIFICATION BY THE APPLICANT: I/WE, Do hereby declare that whatever stated herein above is true to the best of my / our knowledge and belief. I/WE also undertake to abide by the Rules, Regulations And Constitution of Pimpri â€“ Chinchwad chamber of Industries, Commerce, Services and Agriculture. The amendments and changes in constitution, Rules & Regulations time to time shall be on me / us and our Association.

Terms And Conditions Of Membership

1) The Executive Board Of Trustees Shall Be The Final Authority To Accept Or Reject The Mambership Applications.

2) There Are Three Kinds Of Membership And Accordingly The Yearly Subscription Is As Under
a) For Trustee Membership P.A. Rs. 25,000/-
b) For Managing Committee Membership P.A. Rs. 5,000/-
c) For General Membership

3) In Case Of Trustee Membership Applicant From Industry Sector Shall Enclose Proof Of Unit/Units, Certified BalanceÂ Sheet Copy, Classification Of Unit MSI/SSI/Prop./P.Ltd. / P.Pvt. Ltd.

4) In Case Of Trustee Membership Applicant from Commerce, Traders, Exporters, Importer, Services Providers The Certified Copies Of Central, State, Semi-Govt. Corporation, Nagarpalika, Village Panchayat, Pcntda, Licences And Permissions Eligible For Concerned Activities Are Required.

5) The General Membership Applicants Shall Enclose MSI/SSI Licence And Status Proof Certified Copies.

6) If the Yearly Subscription Is Not Paid For Two Conseentive Years Membership Will Automatically Stand As Cancelled.

7) The Company or Association Shall Represent Through Their Authorized Representative for Trustee, ManagingÂ Committee And General Membership.

8) The Yearly Subscription For Each Class Of Membership Shall Be Increased By The General Body Of Trustees Whenever They Found Proper To Achieve The Object Of Chamber.

9) The Membership Shall Not Be Allowed To Any Social An D Political Parties, Labour Union.

10) If The Associations Of Manufacturers, Traders, Commerce, Services, Professional Shall Submit Public Trust Registration, Co-Operative Act RegistrationÂ Â Certified Copies and Resolution for Membership And Name Authorisied Person.

11) Any Other Terms and Conditions Other Than Above Shall Be Binding On Applicant Decided By Executigue Board Of Trustees Time To Time.

12) The Membership Shall Be Allotted On Receipt Of Payment Only.

13) The Duly Completed Form With All Necessary Documents Shall Be Accepted Otherwise Will Be Rejected.

14) Three Passport Size Photographs Necessary.

I/WE, ACCEPT THE TERMS AND CONDITIONS OF MEMBERSHIP