INDIAN WORLDWIDE CHAMBER OF COMMERCE by 4il60c93

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									        INDIAN WORLDWIDE CHAMBER OF COMMERCE
Incorporated on 22nd December 2003 as a section 25 Company under Indian Companies Act, 1956:
                             Registration No. U85320TN2003NPL052204
     Regd. Office : 1291, Kambar Colony, 18th Main Road, Anna Nagar, Chennai – 600 040

                                                             (For Office Use Only)
  MEMBERSHIP APPLICATION FORM
                                                     Application No



  The Board Of Directors
  INDIAN WORLDWIDE CHAMBER OF COMMERCE
  Regd. Office: 1291, Kambar Colony, 18th Main Road,
  Anna Nagar, Chennai – 600 040.

  Dear Sirs,

  Having read and understood the contents of the Memorandum and Articles of Association of
  INDIAN WORLDWIDE CHAMBER OF COMMERCE (hereinafter mentioned as
  Company/Chamber), I/We hereby apply for the membership of the chamber. The necessary
  Membership Fee of Rs………… / USD …………. is remitted herewith.

  Type of Membership                   Individual                     Corporate
  (Tick the applicable Column)

  Name Of The Applicant
  (in Block Letters)

  Address for Communication
  (in Block Letters)




                 Phone/Fax No.
                 Email/URL

  If the applicant is individual, please furnish the following:       Sex   Male/Female

  Age in years              Date pf Birth                    Occupation

  If the applicant is Corporate Body, please furnish the following :

  Category               Company                     Reg. No and Date of
  (Tick the applicable   Association                 Incorporation/establishment
  Column)
                         Firm

  Name/Designation of the Chief Executive
Nature of Business
Industry    Trade        Services      Profession       Association




Name and Designation of the Contact Person

Membership Fee payment details

            Rs.                                 Mode of Payment
Amount Paid USD                                 (DD/Cheque No. & Date)

I/We hereby agree to abide myself/ourselves by the Memorandum & Articles of Association
of the company as modified from time to time. I/We acknowledge that, the Board of
Directors/Executive Committee reserves full, unqualified and absolute right to accept or
reject any application without assigning any reason thereof and the decision of the
Board/Executive Committee is final on admission matters.
                          Photo


Place :                                               SIGNATURE OF THE APPLICANT

Date :



                        Individual Applicant

Proposed by …………………………………………………..(Membership No…………….)

Signature of the Proposer       : ……………………………………

Seconded by …………………………………………………..(Membership No…………….)

Signature of the Proposer       : : ……………………………………

                                    FOR OFFICE USE ONLY

Admitted as Member on                                 Membership No.



                                               Hon. SECRETARY                   PRESIDENT
Dated …………………….

Note:

If the applicant is a Company, please attach a copy of the Memorandum & Articles of Association of
Company and latest Annual Report.
          ADDITIONAL INFORMATION OF CORPORATE APPLICANTS

Financial Information

        Authorised Capital         Paid Up Capital




Business Turnover

        Domestic             Overseas                  Total




Management Information
                                                Male           Female        Total

Executives

Middle Management

Workers

Total

                                                               Grand Total

Photograph of Applicants/Representatives




          Name: …………………………                           Name:…………………………

          Designation:……………………                       Designation: ……………………

								
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