Bhubaneswar, Odisha
+91-9311262262
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Membership
MEMBERSHIP APPLICATION FORM
I/We
Address
Phone
Cell
Fax
Email
Website
Website
Wish to enlist myself . ourselver as member of the chamber in the following category Please (3) tick the appropriate box
Member
Member Association
Crop. Member
Life Member
Associate member
We have read the aims of the chamber and agree to abide by its constitution, rules & regulation in force from time to time (Memorandum & Article of Association).
I am / we are a / an
Individual
Prop. Firm
Part. Firm
Pvt. Ltd. Co.
Ltd. Co
Association
Date of Birth
Year of establishment
My / our main activity is th field of :
Industry
Trading
Exports
Service Industry
Professional
My / Our nature of business is
Name, Designation & Address of Proprietor /Partners / Directors (as the case may be)
I / We authorize Shri
Res. Address
Phone
Cell
E-mail
I am / We are remitting Rs.
Rupees
being admission fee of Rs
together with one year subscription of Rs.
for the year
vide case / Cheque No.
Dated
drawn on
in favour of “ODISHA CHAMBER OF COMMERCE”.
I/We understand that my / our membership is subject to approved by the managing committee / Executive body of the chamber
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