Membership Form

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Application Form for Membership

Name of the Enterprises :  
Contact Details :
Address :  
Contact Person :  
Tel : Fax :
Mobile No : Email :
Website :  
Status of Enterprises :
[ ] Micro [ ] Small [ ] Medium
Constitution :
[ ] Proprietary [ ] Partnership [ ] L.L.P [ ] Pvt. Ltd. [ ] Public Ltd.
Establishment Year :  
Industrial Sector :
[ ] Manufacturing [ ] Service [ ] Other
Products : (Enclose catalogues, write-ups etc.)      
Existing Technology Process : (Use Additional Sheet)      
Working Result as per last
audited balance sheet :
 
Future plans for expansion/
diversification :
(Specify area of interest/products etc.)      
Staff Strength :  
Banker :  

Please attach a brief profile of your company / firm / concem on the letter head Kindly enroll us as a member of India SME Technology Service Ltd., (ISTSL) New Delhi. A Bank Draft No. .................... dated ................ in favour of " India SME Technology Services Ltd. payable at New Delhi, drawn on ............................... (Bank Name) amounting Rs. 5000/- plus service Tax @ 10.3% towards membership fee of ISTSL

Signature with date:
Name & Designation: