APPLICATION FORM

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TRANS ASIAN CHAMBER OF COMMERCE & INDUSTRY

Membership Application Form

Type of Membership Applied :

A) Remittance Attached    :   

Hindustani (Indian) Rs./US$ :

Entrance Fee.

for Yearly Associateship    :   

Hindustani (Indian) Rs./US$ :

Yearly Subscription

Hindustani (Indian) Rs./US$ :

Total Fees.

(Cheques/DD/Postal Order No. with Date  :

)

B) Remittance Attached  : Hindustani (Indian) Rs./US$ :

: Single Payment for Life/Patron Membership

(Cheques/DD/Postal Order No. with Date :

Please note that Cheques / Demand Drafts / Postal Orders / Mail Transfers should be drawn in favour of “Trans Asian Chamber of Commerce & Industry ”. Please add Rs. 50/- or US$ 10 if the Cheques are drawn from the Banks / Places outside of Mumbai or India towards Bank Charges.

Proposer's Name :

Signature & Date :

Name of the Company with Seal :

(If Signing on behalf of Member - Company)

I,

, the Undersigned, solemnly confirm

that the information given here above is correct, I accept to abide by the Rules & Regulations of Trans Asian Chamber of Commerce & Industry. I accept the rights of Executive Committee to amend the Rules & Regulations.

(Applicant Signature & Date with Company Seal if necessary)

(Please note that, if applying on behalf of the Company / Firm, the Applicant must submit the Authority Letter the Company / Firm within the three months, enabling the Applicant to exercise the Membership Rights.)