Emerging, Self-Manufacturing Brands Membership Form

( Associate Membership )

Company Details (Schedule A)

Company Name*

Company - Street / Building*

Company - City*

Company - State*

Company - PIN Code*

Company Email*

Company Phone*

Year of Establishment*

Nature of Business*

Manufacturing Unit - Street / Building*

Manufacturing Unit - City*

Manufacturing Unit - State*

Manufacturing Unit - PIN Code*

Manufacturing Unit Email*

Manufacturing Unit Phone*

CIN / Partnership / Proprietorship No.*

Name of Managing Director / CEO*

MD / CEO Email*

MD / CEO Mobile*

GST Number*

Company PAN*

Company TAN

Factory License No.

Nominee for IFMA

Person nominated to represent the company before IFMA

Nominee Name*

Nominee Designation

Nominee Email*

Nominee Mobile*

Applicant & Proposer

Applicant

Name of the Applicant*

Designation of the Applicant*

Signature of the Applicant*〽Upload signaturePNG, JPG or PDF · max 2 MB

Proposer - must be an existing primary member

Name of the Proposer*

Designation of the Proposer*

Company of the Proposer*

Signature of the Proposer*〽Upload signaturePNG, JPG or PDF · max 2 MB

Upload a clear scan or photograph of each signature. Both signatures are required for the application to be processed.

Supporting Documents

PDF, JPG or PNG

GST CertificateCompany PANCompany TANFactory LicenseCIN / Partnership / Proprietorship certificateRTGS / NEFT payment proof

Fees & Terms

Documents to be submitted along with the application form

GST certificate, company PAN, company TAN and factory licence.
RTGS being the annual membership fee as an Associate Member as applicable plus GST @ 18%.

Annual membership fees structure

Type	Description	Annual Membership Fees
Emerging, Self-Manufacturing Brands	Annual production of 2-5 Lakh Fans (less than 5 years)	1.50 Lakhs INR

Bank details

Bank Name: Standard Chartered Bank, Salt Lake, Kolkata 700091
Branch Code: 322
MICR No: 700036002
IFSC / RTGS / NEFT: SCBL0036002
Account Type: Current
Account No: 32205258666
Email ID: roshan.kumar@cii.in · ravi.bhushan@cii.in

Notes

No entrance membership fee is solicited for Associate membership in the above-mentioned categories.
Associate Members are not part of the Executive Council and do not have any voting rights.
Billing is done in April/May each year and payment must be made by June.

I confirm that the information provided in this application is true and correct, and that we agree to the terms of Associate Membership of IFMA.

Fields marked * are required.