Membership Form Associate

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    APPLICAAPPLICAAPPLICAAPPLICAAPPLICATION FORMTION FORMTION FORMTION FORMTION FORM

    ASSOCIAASSOCIAASSOCIAASSOCIAASSOCIATE MEMBERSHIPTE MEMBERSHIPTE MEMBERSHIPTE MEMBERSHIPTE MEMBERSHIP

    Federation of Indian

    Chambers of Commerce & Industry

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    BENEFITS TO FICCI MEMBERS

    As a member of FICCI, members can access a world of opportunities. FICCIs proactive

    approach focuses on helping you increase efficiency and competitiveness through:

    Networking

    Platform to interact with other members, institutions, state & centralgovernments

    Platform to meet global business and political leaders Participation in topical seminars, training programmes, conferences and meeting

    Policy Work

    Participation in different National Policy Committees and Task Forces Expert advice on government legislations, regulations, etc. Representations to central and state governments and other institutions Provides information on export and import policies Provides information for technology collaboration and investment Undertakes research studies

    Business Services

    Participation in trade fairs and exhibitions Develop business through buyerseller meets

    Information dissemination

    FICCI Events Weekly Calendar Dedicated service through [email protected] Access to publications and reports on a wide range of subjects Free distribution of Business Digest, a monthly update on business news Regional/State/Zonal and foreign offices providing assistance at all levels FICCI Awards for companies and institutions and also Individual Awards for

    Scientist/Technologist

    Other Benefits

    10% Discount on Delegation Fee (applicable only on the fee component chargedby FICCI)

    5% Discount on Select Exhibitions (only on space rental charges) 8% Discount on availing our Auditorium Facilities (only on hire charges)

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    Subscription slabs for Associate Members

    A. Industrial Activity

    For all business entities engaged in industrial activity which includes all kinds of manufacture, construction

    business, hotel business and information technology, the subscription shall be as under:

    Annual

    Subscription

    (Rs.)

    Minimum eligibility turnover Rs.10 crores 20000

    If turnover is more than Rs.10 crores and is upto Rs.20 crores 30000

    If turnover is more than Rs.20 crores and is upto Rs. 40 crores 40000

    If turnover is more than Rs.40 crores and is upto Rs. 80 crores 50000

    If turnover is more than Rs. 80 crores and is upto Rs. 150 crores 60000

    If turnover is more than Rs. 150 crores and is upto Rs. 250 crores 70000

    If turnover is more than Rs.250 crores and is upto Rs. 400 crores 80000

    If turnover is more than Rs. 400 crores and is upto Rs. 500 crores 90000

    If turnover is more than Rs. 500 crores and is upto Rs. 600 crores 100000

    If turnover is more than Rs. 600 crores 120000

    Admission Fee:

    A one-time admission fee shall be payable by all new entrants at the time of seeking admission to the

    Federation (as detailed below alongwith applicable yearly subscription):

    Upto 10 crores Rs. 5,000/-

    Upto 100 crores Rs. 10,000/-

    Above 100 crores Rs. 20,000/-

    NOTE: Service Tax @10.30% will be collected on Annual Subscription along with one-time admission fee.

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    Subscription slabs for Associate Members

    B. Trading Activity

    For all business entities engaged in trading activity and business, the annual subscription shall be as under:

    Annual

    Subscription

    (Rs.)

    Minimum eligibility turnover Rs.10 crores 20000

    If turnover is more than Rs.10 crores and is upto Rs.30 crores 30000

    If turnover is more than Rs.30 crores and is upto Rs. 50 crores 40000

    If turnover is more than Rs.50 crores and is upto Rs. 150 crores 50000

    If turnover is more than Rs. 150 crores and is upto Rs. 300 crores 60000

    If turnover is more than Rs. 300 crores and is upto Rs. 500 crores 70000

    If turnover is more than Rs.500 crores and is upto Rs. 700 crores 80000

    If turnover is more than Rs. 700 crores and is upto Rs. 1000 crores 90000

    If turnover is more than Rs. 1000 crores and is upto Rs. 1200 crores 100000

    If turnover is more than Rs.1200 crores 120000

    Admission Fee:

    A one-time admission fee shall be payable by all new entrants at the time of seeking admission to the

    Federation (as detailed below alongwith applicable yearly subscription):

    Upto 10 crores Rs. 5,000/-

    Upto 100 crores Rs. 10,000/-

    Above 100 crores Rs. 20,000/-

    NOTE: NOTE: Service Tax @10.30% will be collected on Annual Subscription along with one-time admission fee.

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    Subscription slabs for Associate Members

    C. Gross Income

    All business having income from dividends or any other income from activities such as

    investment/leasing/hire purchase firm or company, banking, merchant banking, portfolio management,

    NBFCs, finance, insurance, marketing, advertising, brokering, safe deposit, travel agency, transport, printing

    and publishing, cold storage activity etc., have to pay subscription as per the following schedule:

    Annual

    Subscription

    (Rs.)

    Minimum eligibility Income Rs.2 crores 20000

    If income is more than Rs. 2 crores and is upto Rs. 3 crores 30000

    If income is more than Rs. 3 crores and is upto Rs. 4 crores 40000

    If income is more than Rs. 4 crores and is upto Rs 5 crores 50000

    If income is more than Rs. 5 crores and is upto Rs. 8 crores 60000

    If income is more than Rs. 8 crores and is upto Rs. 20 crores 70000

    If income is more than Rs. 20 crores and is upto Rs. 30 crores 80000

    If income is more than Rs.30 crores and is upto Rs. 40 crores 90000

    If income is more than Rs. 40 crores and is upto Rs. 50 crores 100000

    If income is more than Rs 50 crores 120000

    Admission Fee:

    A one-time admission fee shall be payable by all new entrants at the time of seeking admission to theFederation (as detailed below alongwith applicable yearly subscription):

    Upto 10 crores Rs. 5,000/-

    Upto 100 crores Rs. 10,000/-

    Above 100 crores Rs. 20000/-

    NOTE: NOTE: Service Tax @10.30% will be collected on Annual Subscription along with one-time admission fee.

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    Subscription slabs for Associate Members

    D. Consultancy

    Those engaged in research, consultancy, education, management, auditing, legal, commission agent and

    agency business, the annual subscription will be paid at a flat rate of Rs. 50,000/- annually.

    Admission Fee:

    A one-time admission fee of Rs. 10000/- , shall be payable by all new entrants at the time of seeking

    NOTE: Service Tax @10.30% will be collected on Annual Subscription along with one-time admission fee.

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    APPLICATION FORM FOR ASSOCIATE MEMBERSHIP

    The Secretary General Date: ____________Federation of Indian Chambers of Commerce & IndustryFederation House, 1, Tansen Marg,New Delhi - 110 001

    Dear Sir,We have the pleasure in applying for the Associate Membership of FICCI as per the following details:

    Details of the Applicant Company:

    Name: __________________________________________________________________________

    Address: ________________________________________________________________________

    ____________________________________________________________________________________

    _____________________________________________________ Pin: _______________________

    Tel: ____________________ Fax:____________________ e-mail: __________________________

    Address in Delhi (if any)

    ____________________________________________________________________________________

    ____________________________________________________ Pin: ________________________

    Tel: __________________________ Fax:______________________________________________

    C E O / Chairman / President: ________________________________________________________

    Designation: _____________________________________________________________________

    Address _________________________________________________________________________

    _____________________________________________________ Pin: _______________________

    Tel. (Off.) _____________ (Mobile) _____________ Fax ______________ e-mail ________________

    We are engaged in Trading/Manufacturing/Construction/Hotel/Information Technology/Investment/Leasing/ Hire purchase/ Banking/Merchant Banking/Portfolio management/NBFCs/Finance/Insurance/Marketing/Advertising/ Brokering/Safe deposit/ Travel Agency/Transport/Printing and Publishing/Coldstorage/ Research/ Consultancy/ Education/Management/Auditing/Legal firm/Commission Agent andagency business.

    Main Line of Business: ___________________________________________________________

    _______________________________________________________________________________

    Latest Gross Turnover in Crores (INR) ______________ Financial Year ____________________

    No. of Employees (approx.) _______________________ Year of establishment _______________

    Location of major factories/branches: __________________________________________________

    Export turnover: $ ______________________________ Year _____________________________

    Countries we export to: ____________________________________________________________

    Reason(s) for becoming a Member: __________________________________________________

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    We nominate Mr/Ms ____________________________ Designation _______________________

    as our representative in FICCI. All communication addressed to him/her can be sent at:

    Address ________________________________________________________________________

    ____________________________________________________ Pin _______________________

    Tel. (D) _____________ Mobile: _____________ Fax: _____________ e-mail: ________________

    Name of the Personal Secretary ___________________________________ Tel ______________

    We agree to abide by the Memorandum and Articles of Association and the Rules of the Federation

    We are sending herewith a cheque on a Delhi bank or a draft payable at Delhi bearing no. _______

    Dt. _______________ for Rs.________________ being the annual subscription along with a onetime

    admission fee as applicable (according to the subscription slab).

    Yours faithfully,

    ____________________ ______________________ _______________________Date Name & Designation Signature of the applicant

    Existing Membership of Chamber/ any Association (This information is vital).We are a member of ______________________________________________________________

    Sponsorship *

    We hereby certify that the applicant is a member of this Chamber/ Association. We have pleasure insponsoring this application for Associate Membership of the Federation.

    ____________________ ___________________________ _______________________Date Name of Chamber/ Association Name and Signature

    *If possible, please have your application sponsored.

    (For office use only)

    I have pleasure in sponsoring this application for Associate Membership of the Federation.

    ____________________ ______________________ _______________________Date Name Signature

    (To be made by an Executive Committee Member/Past President of FICCI)

    This application was put up to the Membership Screening/ Executive Committee Meeting held on__________________ in __________________ and formally accepted for admission / rejection.

    Please attach the latest Audited Accounts and Company Brochure / Company Profile along with the

    application form.

    Please refer to the annual subscription slab for correct subscription amount applicable to you. Apartfrom the annual subscription amount, please also send a one-time admission fee as applicable.

    Service tax @ 10.3% applicable on the total amount. All payments should be made by cheque on aDelhi bank or a draft favouring FICCI, payable at Delhi.

    Please send the duly filled application form to Mr S Ratnam, Consultant, Ph: 23357368(D)/Ms Parminder Juneja, Joint Director, Ph: 23487360(D)/ Ms Shilpa Gupta, Dy. Director, Ph: 23487270(D);

    Fax : 2332 0714/ 23721504; Email: [email protected]

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    FICCI OFFICES

    INDIAINDIAINDIAINDIAINDIA

    OVERSEASOVERSEASOVERSEASOVERSEASOVERSEAS

    Federation of Indian Chambers of Commerce & IndustryFederation House, Tansen Marg, New Delhi-110 001

    Tel: 23738760-70 Fax: (91) 11-23320714 & 23721504,Website: www.ficci.com E-mail: [email protected]

    Mr Akhilesh MahurkarDirectorFICCI Andhra Pradesh State Council

    8-2-601, Plot # 134th Floor, NNR Arcade

    Above South Indian BankRoad Number 10, Banjara HillsHyderabad - 500 034Phone: 040-23395275-76, 040-64548848Fax: 040- 23395275-76Email: [email protected]

    Mr Param J ShahDeputy DirectorFICCI Gujarat State Council

    A-311, Safal Pegasus, 100 ft Road,Prahladnagar, Ahmedabad - 380 015Telefax: 079-26937581, 26937582, 26937583Email: [email protected], [email protected]

    Dr Vaijayanti PanditDirectorFICCI Western Regional Council

    Krishnamai Cooperative Housing Society LtdGround Floor, Plot No. 33-BPochkhanwala Road, WorliMumbai - 400 025Phone: 022-24966633-39 (O), 24968000Fax: 022-24966631-32Email: [email protected], [email protected]

    Ms Ranjana KhannaDeputy Secretary GeneralFICCI-USA

    17th Street, NW Suite 600Washington DC 20036, USA

    Tel.: 202-776-7181Fax: 202-331-8703Email: [email protected],[email protected]: www.ficci.com

    Mr Atul DalakotiExecutive DirectorFICCI ChinaFloor 3, Block A, No.116,Jiahao International CentreZizhuyuan Road, Haidian DistrictBeijing-100097 China

    Tel.: 86 1051235112Mobile: 8613321161011Fax: 861051235052Email: [email protected])

    Mr P MurariAdvisor - President, FICCI

    Mr S. SaravananDeputy Director

    FICCI Tamil Nadu State Council5, Vivekananda RoadOff Spur Tank Road,Chetpet, Chennai 600031Phone: 044- 4284 9612 (D) 4284 9613/9614/9615Fax: 044- 4284 9618Email: [email protected]

    Mr Abhishek SharmaCoordinatorFICCI Chhattisgarh State Council

    JSPL CampusMandir Hasaud, ChhattisgarhRaipur - 492 001Phone: 0771-2471400 (D), 2471205-07Fax: 0771-2471214/2471404Email: [email protected]

    Ms Priya BhattacharjeeSenior Assistant DirectorFICCI Karnataka State Council

    VITC Building, 1st Floor, Kasturba RoadBangalore - 560 001Phone: 080 22861949Email: [email protected]

    Mr Roney SimonDirector- FICCI, ItalyFICCI - Italy

    Via Michele Diverio,1Piazza Cavour-10023Chieri- Turin, ItalyTel.: 00-39-3485-60120800-39-3346-457431Email: [email protected]

    Dr Lau Sim YeeDirectorFICCI Tokyo Representation Office8F, Hokkai Buildibg Shimbashi6-4-9, Shimbashi, Minato-kuTokyo 105-0004Tel: 81-3-3437-3130Email: [email protected]

    Ms Ridhika BatraDirectorFICCI-UK

    Room No. 103, 1st Floor, 180- Piccadilly,London WIJ 9HF UKTel.: 020-7917 6810Mobile: 07930 907011Email: [email protected]

    Mr George AbrahamChairman & Managing DirectorFICCI-SingaporeThe G A Group Pte LtdNo.1, Shenton Way #11-06Singapore 68803Tel.: 00-65-64231078Mobile: 00-65-96209720 (India 9741017927)Fax: 00-65-64231079

    Email: [email protected]

    Mr Hiren N SenHonorary Advisor- FranceFICCI-France60, Boulevard SuchetParis 75016 FranceTel: 33142248027Mobile: 33675029030Email: [email protected]

    Mr Gyan PrakashDirectorFICCI Rajasthan State Council

    202 Rajputana TowerA-27-B, Shanti Path, Tilak Nagar

    Jaipur - 302 004Phone: 0141 5116464Fax: 0141 5116464Email: [email protected]

    Ms Mousumi GhoseDirectorFICCI Eastern Regional Council

    4, Camac Street 2nd Floor, Wing 'B'Kolkata 700 016Phone: 91-033-32940580, 40035347Fax: 91-033 40035348Email: [email protected],[email protected]