Scribd
Upload
216 views2 pages

KCCI Membership Form

This document is an application form for membership to the Karnatak Chamber of Commerce and Industry (KCCI). It requests information such as the name, address, and registration details of the applicant's company or firm. It also asks for information on the applicant's lines of business, years of establishment, and proposers for membership. Finally, it provides the subscription fees for different categories of membership, including firms, associations, and limited companies.

Uploaded by

Suresh Asangi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
216 views2 pages

KCCI Membership Form

This document is an application form for membership to the Karnatak Chamber of Commerce and Industry (KCCI). It requests information such as the name, address, and registration details of the applicant's company or firm. It also asks for information on the applicant's lines of business, years of establishment, and proposers for membership. Finally, it provides the subscription fees for different categories of membership, including firms, associations, and limited companies.

Uploaded by

Suresh Asangi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Karnatak Chamber of Commerce & Industry

An ISO 9001 : 2008 Certified Organisation


G. Mahadevappa Chamber Building, J.C. Nagar, Hubli – 580 020.
Tel: (0836) 2218234, 2218235, 4253406, 4253407 Fax: 2360933 Email: [email protected], [email protected]

APPLICATION FORM FOR MEMBERSHIP


To
The Hon. Secretary
KARNATAK CHAMBER OF COMMERCE AND INDUSTRY

Sir,
I/We hereby apply for Membership of the Karnatak Chamber of Commerce and Industry and
declare that the information produced below are true and correct to the best of my knowledge & belief.
I/We am/are abide by the rules and regulations of the KCC&I and also have paid the prescribed
sum of Rs___________ by way of Cheque No._________DD No.__________/ cash receipt No.

Yours faithfully,

(To be signed by the Authorised Representative)


Date: ……………………… Company Stamp

1. Name of the Company / Firm……………………………………………………………………...….……

2. Name of Managing Director/


Partners/ Proprietor…………………………………………………….………………………..…..…….

3. Registration No (TIN) ………………………………………………………………..……………..………


4. PAN ……………………………………………MSME No...………………………………………………

5. Address …….……………………………………………………….……………………………….………

…….……………………………………………………….………………………………………

…….……………………………………………………….………………………………………

6. Name of the representative and status……………………….…………………………………………

7. Telephone………………………………..……Mobile No.…….…………………………………………

Email..…...………………………………..… Website……………………………………………………

8. Main lines of business:


(I) Manufacturer……….……………………………………………………………….……………..……

(II) Import / Export……….………………………………..…………………………………………….…

(III) Other business……….…………………………………………………………………………...……

…2…
//2//

9. Status (a) Proprietorship

(b) Partnership Firm

(c) Association / Co-op Society

(e) Private / Limited Company / Bank

10. Year of establishment………………………………………………………………………………….

11. Achievements and awards…………………………………………………………………………….

12. Proposer’s Name and Membership No…..………………………………………………………….

13. Seconder’s Name and Membership No...………………………………………………………..….

Pls. Note: Attach copy of TIN Certificate, PAN Card and MSME Certificate
--------------------------------------------------------------------------------------------------------------------------------------
Subscription Schedule for Membership

Sl. Category Admission Subscription Service Tax Total


No. Fee (Rs.) (Rs.)
(Rs.)
1 Firm 500/- 1000.00 270.00 1770.00

2 Association / Co-op. 1500/- 1500.00 540.00 3540.00


Society/Institution or Body

3 Limited Company or Bank 3000/- 3000.00 1080.00 7080.00

---------------------------------------------------For Office Use Only----------------------------------------------------------------

Admitted / Rejected as Member in the Managing Committee Meeting held on ………………………….………………

Receipt No. ……….……………………….………………Date: ……….……………………….………………Rs. ……….………………………

HON. SECRETARY

You might also like