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FORMS

APPLICATION FOR MEMBERSHIP

[subscription : Life Member – Rs. 11,000/-, Annual Member – Rs. 1100/- plus Rs. 250/- as Admission Fee]*.
The particulars of our unit are furnished below :

REQUIRED INFORMATION

Name of the firm M/s*

Name Of the Owner/Partners/Directors

(i) (ii)

Address

Phone No*.

Fax

Mobile*

e-mail

Residential Address

Ph.No

Residential Ph. No.

Year Of Established

Product Manufactured

Raw Materials Required

Branches, if any

Address. Phone No

Other Information (if any)

INTRODUCED BY:

Name and address:

Date	Signature with Stamp

We understand that we shall abide by AIFPI's Aims, Objects and its Constitution.
We are remitting Rs. 1350/- (Rs. 250/- Entrance fee Rs. 1100 /- Annual Subscription) in cash/by Cheque/Demand Draft.

Place	Signature
	Designation
Date	Stamp

(FOR OFFICE USE)

Amount Reciept No Date Cash/Cheque/Demand Draft

Executive Secretary

Admission approved by Executive Council Meeting dated

Date	Hony Genl. Secretary