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    KCCI Membership Form

    Uploaded by

    Suresh Asangi
    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.

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    © All Rights Reserved
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    KCCI Membership Form

    Uploaded by

    Suresh Asangi
    90 views2 pages
    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.

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    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    90 views2 pages

    KCCI Membership Form

    Uploaded by

    Suresh Asangi
    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.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 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

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