Date : _______________

The Executive Director
ICC India
Federation House
1 Tansen Marg
New Delhi 110 001

Dear Sir,

We have the pleasure of applying for the Corporate Membership of ICC India as also of the International Chamber of Commerce, as per following details.

Name of Company _________________________________________________

Address :_________________________________________________________

________________________________________________________________

City _______________________________________ Pin __________________

Tel :_________________ Fax :______________ E-mail :___________________

Address in Delhi (if any)_____________________________________________

________________________________________________________________

Tel :_________________ Fax :______________ E-mail :___________________

Our Chief Executive is ______________________________________________

Designation :____________________________ Tel. ______________________

Fax:___________________________ E-mail: ____________________________

We are engaged in Industrial/ Trading/ Manufacturing/ Construction/ Hotel/ Information Technology/ Investment/ Leasing/ Hire Purchase/ Banking/ Merchant Banking/ Portfolio Management/ NBFCs/ Finance/ Insurance/ Marketing/ Brokering/ Safe deposit/ Travel Agency/ Transport/ Printing and Publishing/ Cold storage/ Research/ Education/ Consultancy/ Management/ Auditing/ Commission agency/ Agency business.

Main Line of Business : _____________________________________________

Our Turnover in last two years :

1. Year___________________________ Rs.___________________________

2. Year___________________________ Rs.___________________________

Our Gross Income in last two years :

1. Year___________________________ Rs.___________________________

2. Year___________________________ Rs.___________________________

We nominate Mr/Ms/Dr/etc._____________ Designation_______________ as our representative in ICC India. All communication to him/her may kindly be sent at:

Address _________________________________________________________

_______________________________________________Pin_______________ 

Tel :__________________ Fax :_______________ E-mail :__________________

We agree to abide by the Memorandum and Articles of Association.

We are sending herewith a Cheque on a Delhi Bank or a Demand Draft in favour of ICC India, payable at Delhi bearing No._____________ dated _________ for Rs._______________ being the annual subscription which, in our opinion, is payable according to the Articles of Association along with an admission fee of Rs.1000/- and request you to place our application before the Committee of the ICC India at the earliest and look forward to receiving your acceptance of the same.

_____________________
Name and Designation

______________________
Signature of the Applicant

Please attach latest available Balance Sheet/ Profit and Loss Account/ Auditor's Certificate.