MEMBERSHIP

APPLICATION FORM

MEMBERSHIP FORM

F/101/5

“Samruddhi”, Makkai Pool, Nanpura, Surat-395001, Gujarat, India.

Ph. : +91-261-2291111, Fax : +91-261-2472340, E-mail : info@sgcci.in, Website : www.sgcci.in

(ISO 9001:2015 Certified Organisation)

The Southern Gujarat Chamber of Commerce & Industry

Form No. ONLINE

Name of Representatives

CorrespondenceAddress

Mobile :

Mobile :

1.

2.

Pin

Pin

Designation :

Designation :

Blood Group :

Blood Group :

Date of Birth :

Date of Birth :

Website :

Blood Group :

Aadhar No. :

(R)(O)(M)

One representative for firm / association / Co.op. Society & Two representative in case of company

Note : In case of Individuals. Please Sign. witout Rubber Stamp

ResidenceAddress

Phone :

E-Mail :

Date of Birth :

PAN No. :

GST No. :

1.

Type of Membership

Category of Membership

Name of Applicant

Individual Firm Company Organisation

Chief Patron Patron Annual Member Life Member

Date :

Place :Signature withRubber Stamp

Photograph2.5 cm X 3 cm

To,The PresidentI/We wish to apply for “SGCCI” Membership. The application form, duly completed is submitted alongwith the relevant supporting documents. I/We agree to abide by the rules and regulations of SGCCI and declare that the following particulars are correct to the utmost of my/our knowledge. I/We further declared that the information given in the form are correct. And if any change is taken in the said information during membership, I/We immediately inform the said changes to the SGCCI. If I/We have given any wrong information or fails to give details of the changes then SGCCI can terminate my/our membership. Kindly accept the form.

Yours faithfully,

MEMBERSHIP FORM

Occupation

Proposed By Seconded By

Mobile No.

Name

Type of Membership

Signature

PaymentDetails

Membership No.

FOR OFFICE USE

Entrance Fee

Fee

GST

Total Fee

Cash / Cheque No. :

Date :

Drawn on :

Branch :

Rs.

Rs.

Rs.

Rs.

Membership No.

Spouse Name

Scale of Business

Approx Turnoverper year

Nature of BusinessPlease refer page 4

SGCCI SecretariatChecked by

(SGCCI Official)Verified by

(Membership Committee)Chairman

(Membership Committee)

Cheque drawn in favour of “ The Southern Gujarat Chamber of Commerce & Industry”

The Membership Committee of SGCCI held on dated..................................... has recommended

Shri / M/s. ................................................................... as a .............................................Member

This application was approved by the Managing Committee of SGCCI in their Meeting

dated ............................... vide Resolution No. ..............................................................

Allotted Membership No. : ...............................

The payment received vide receipt No. .............................................Date ....................................

Business Profession Job

Mobile No.

Small Medium Large Corporate

SG

CC

IS

GC

CI

This application should be proposed and seconded by two existing SGCCI Members.

MEMBERSHIP FORM

Note : This KYC is valid for three years, after three years Please update your KYC

Nature of Business : Textiles

Diamond

Jari

Colour / Chemical

Engineering

Construction

Professionals

Information Technology

Others

Textile Engg. / Mfg. / Trading / Exporters / Importers, Apparels Mfg. / Importers / Exporters

Manufacturer / Trading / Importers, Gem & Jewellery : Mfg. / Trading / Importers / Exporters

Manufacturer / Trading / Importers / Exporters

Manufacturer / Trading / Importers / Exporters

Manufacturer / Trading / Importers / Exporters

Architect / Contractor / Builder / Bldg. Materials : Mfg. / Trading / Importers / Exporters

Doctors / Advocates / C.A. / Tax Practitioners etc.

Business / Trading / Mfgs. & Services (Other than the above mentioned categories)

Computer Hardwear / Softwear / Communication / Office Automation / CCTV Survelliance

Type ofMembership

Chief PatronFee

PatronFee

Life MemberFee

Annual MemberFee

MEMBERSHIP FEES

Note :

Entrance Fee Rs. 1000/-

All Taxes applicable as per Govt. norms

The Validity of annual membership will be upto Financial Year

SGCCI GST NO. : 24AAAAT4233H1ZS

Individual Rs. 75,000/- Rs. 30,000/- Rs. 15,000/- Rs. 1,500/-

Firm Rs. 1,00,000/- Rs. 40,000/- Rs. 20,000/- Rs. 2,000/-

Company / Co-op Society /

AssociationRs. 1,50,000/- Rs. 50,000/- Rs. 25,000/- Rs. 2,500/-

Applicant’s Pan Card

Address Proof IT Return for last year

In Case of Partnership - Copy of Partnership Deed

In Case of Propritoship Firm - Firm Registration Copy

In Case of Company - Memorandum of Articles

In Case of Association - Copy of Resolution & Constitution of Association

Please Attach(Compulsory)

Applicant’s Aadhar Card

2019