Industry Membership Membership Application Form Select Your Category (required) INDUSTRYINSTITUTIONTRADE UNIONASSOCIATION Name of the Organization (required) Name of CMD / MD / CEO (required) Year of Establishment (required) No. of Employees (required) Regd. Office Address (required) Factory Address (required) Address For Communication (required) OfficeFactory Telephone Office (required) Telephone Factory (required) Email (required) Website (Optional) Details of Authority to Whom, Communication can be sent (Name, Designation, Phone No.,[Mobile & Landline] Fax& E-mail) (required) Name of Head - HRD (required) Name of Head - Operations (required) Name of Head - Administration (required) Products (Optional) Name(s) of Related Group Industries (Optional) Turnover of the Organization in Rs. (required) Achievements of Organizations (Optional) Any other Information (Optional) I / we do hereby declare that the above particulars furnished by me / us are true to the best of my / our knowledge. [group group-industry-classification] Choose your Membership Classification (required) —Please choose an option—3001 and above Employees1001 to 300 Employees501 to 1000 EmployeesUpto 500 Employees [group group-industry-below-500] Choose your Membership Fee (required) An entrance fee of ₹500 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹1770 (with GST 18%) for Annual Subscription₹8850 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹24190 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-industry-below-1000] Choose your Membership Fee (required) An entrance fee of ₹500 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹2950 (with GST 18%) for Annual Subscription₹17110 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹47790 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-industry-below-3000] Choose your Membership Fee (required) An entrance fee of ₹500 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹4130 (with GST 18%) for Annual Subscription₹25370 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹71390 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-industry-above-3000] Choose your Membership Fee (required) An entrance fee of ₹500 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹6490 (with GST 18%) for Annual Subscription₹41890 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹118590 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [/group] [group group-institution-classification] Choose your Membership Fee (required) An entrance fee of ₹500 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹2950 (with GST 18%) for Annual Subscription₹17110 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹47790 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-association-classification] Choose your Membership Fee (required) An entrance fee of ₹500 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹2950 (with GST 18%) for Annual Subscription₹17110 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹47790 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-trade-union-classification] Choose your Membership Classification (required) —Please choose an option—5001 and above Members3001 and above MembersUpto 3000 Members [group group-trade-union-upto-3000] Choose your Membership Fee (required) An entrance fee of ₹200 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹590 (with GST 18%) for Annual Subscription₹2714 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹7316 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-trade-union-upto-5000] Choose your Membership Fee (required) An entrance fee of ₹200 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹826 (with GST 18%) for Annual Subscription₹4366 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹12036 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [group group-trade-union-above-5000] Choose your Membership Fee (required) An entrance fee of ₹200 (with GST 18%) has been added along with the membership fee which you are going to choose below. ₹1416 (with GST 18%) for Annual Subscription₹8496 (with GST 18%) for 10 Years long term special membership fee (with payment of 7 times annual fee)₹23836 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee) [/group] [/group] [group group-note-and-bank-details] Note: Cheques / DD should be drawn in favour of "The Coimbatore Productivity Council" and payable at Coimbatore. Non Life Members should renew the membership every year in April Members joining after September may pay 50% Subscription GST 18% Applicable Bank Details Bank Name : Kotak Mahindra Bank Bank Address : 727, Avinashi Road, Coimbatore, 641 018 Account Number : 04910010011454 IFSC Code : KKBK0000491 Pan No. : AAATT1411E GST No. : 33AAATT1411E1Z6 [/group] [group group-payment-details] Please enter Your Payment Details Below: Received From Mr. / Ms. (required) Total Amount (in Rs.) (required) Payment mode (required) ChequeDDNEFT [group group-payment-mode-number] Cheque / DD Number (required) [/group] [/group] Member Register
