Application Form

By the Members, of the Members & for the Members

Application Form

Member Registration

Company Name *

Key Person Name & Designation *

Nominee Name & Designation: *

Email Address *

Confirm email Address: *

Website Address

Constitution

Public Ltd

Private Ltd

Proprietary

Partnership

Regd. Office Address *

Reged. Office City

Reged. Office City if not in above list

Pincode

Reged. Office Telephone

Reged. Office Fax

GST No.

Factory City

Activities *

No. of Employees *

Member Slab *

	Classification of Member	Gross annual sales turnover	Entrance Fee (Rs.)	Annual Subscription (Rs.)	GST@ 18%	Total (Rs.)	Tick Relevent Category
a.	Classification of Member Ordinary	Gross annual sales turnover Upto Rs. 1 crore	Entrance Free (Rs.) 2500	Annual Subscription (Rs.) 1000	Service Tax (Rs.) 630	Total (Rs.) 4130	Tick if Relevent
	Classification of Member	Gross annual sales turnover Exceeding Rs. 1 crore upto Rs. 10 crore	Entrance Free (Rs.) 5000	Annual Subscription (Rs.) 2500	Service Tax (Rs.) 1350	Total (Rs.) 8850	Tick if Relevent
	Classification of Member	Gross annual sales turnover Exceeding Rs. 10 crore	Entrance Free (Rs.) 10000	Annual Subscription (Rs.) 5000	Service Tax (Rs.) 2700	Total (Rs.) 17700	Tick if Relevent
b.	Classification of Member Patron	Gross annual sales turnover	Entrance Free (Rs.) 1,50,000	Annual Subscription (Rs.) NIL	Service Tax (Rs.) 27000	Total (Rs.) 177000	Tick if Relevent
c.	Classification of Member Honorary	Gross annual sales turnover	Entrance Free (Rs.) NIL	Annual Subscription (Rs.) NIL	Service Tax (Rs.) NIL	Total (Rs.) NIL	Tick if Relevent
d.	Classification of Member Associate	Gross annual sales turnover	Entrance Free (Rs.) 1500	Annual Subscription (Rs.) 1000	Service Tax (Rs.) 450	Total (Rs.) 2950	Tick if Relevent

Turnover *

Latest Audited Balance Sheet (Note : Please
submit the latest audited balance sheet in pdf/doc/docx/xls format along with this application) *

Category *

Die & Mould for Metallic products: Sheet Metal, Press Tools, Die Castings, Forgings

Die & Mould for Non Metallic products: Plastics, Rubber, Glass & Ceramics

Gauges, Jigs & Fixtures

Related services: CAD/CAM, Analysis, Simulation, Texturising, Heat Treatment, Polishing & Plating

Standard Components: Mould Bases, Die Sets, Die & Mould Parts, Hot Runner Systems

Suppliers to Tooling industry: Machines, Equipments, Raw Materials, Cutting Tools, CAD/CAM system, services, Consumables & Spares

Applicaton Proposed and Seconded by :

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