Application Form for Associate Membership

APPLICATION FORM FOR ASSOCIATE MEMBERSHIP

Organisation Details:

Name of Company *

Office Address *

Pin *

Tel *

Fax

e-mail *

Address in Delhi (if any)

Tel

Fax

e-mail

Chief Executive Details:

Name *

Designation *

Tel.(Dir.) *

e-mail *

Representative Details:

We nominate Mr/Ms *

Designation *

Address *

Pin *

Tel.(off) *

(Res. Tel)

Fax

e-mail *

We agree to abide by the Memorandum and Articles of Association and the Rules of the company. We are enclosing herewith a cheque on a Delhi bank or a draft payable at Delhi

Bearing No. *

Date *

Year *

Copy of Memorandum *

Article of Association *

Company PAN Card *

Company GST *

Auto Generated Application No

Please send annual membership fee of Rs.1000/- + 18% GST along with application form without which the application cannot be processed. All payments should be made by a cheque on a Delhi bank or by a demand draft payable at Delhi favouring National Internet Exchange of India.