Membership - QUAD CHAMBER OF COMMERCE & INDUSTRY

Type Of Membership

Select One Option

Name *

First

Last

Father Name

Spouse's Name

Spouse (Occupation Details):

Email *

Date of Birth

Educational/Professional Qualification:

Name of the Company/ Organization

Name of the CEO/Chairman/President/ Director

Address for Correspondence: *

Year of Establishment

Annual Turnover

Areas of business or profession

Name(s) of the Authorized Representative Directors/ CEO/ Partners /Proprietor (maximum two)

. Other Organizations/ Chambers/ Associations of which a member (Please mention Names)

Permanent Account No. (PAN)

Award(s) received, if any or wish to highlight any special achievement (Please add extra sheet if the space is not adequate)

Brief Profile (write your introduction as you would like to be printed/publish)

Your objectives of joining QUADCCI

Briefly mention how could you contribute to QUAD CCI and its agenda

Please acknowledge receipt of the above and confirm my/our Membership. In the event of our enrollment as a member, we shall be bound by the Memorandum of Association and bylaws and Rules & Regulations of the Association of the Chamber from time to time

Digital Signature

Please provide one extra passport size photograph for Membership Card. Please provide self attested Copy of PAN and Voter ID/Passport. Please Pay Your Fees After Submission