Date : _____________

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

Dear Sir,

We have the pleasure of applying for Membership as an Organisation Member of ICC India as also of the International Chamber of Commerce as per following details :

Name of the Chamber/ Association ____________________________________

________________________________________________________________

Address : ________________________________________________________

___________________________City _________________ Pin _____________

Tel : _________________ Fax :________________ E-mail :________________

Name of the Secretary General/ Secretary/ Exec. Director__________________

Tel(Off/Res):___________________Fax:______________E-mail:___________

No. of subscribing members on the Membership Register on the date of 

application ________________________________________________________

Industry/ Trade which the Chamber/ Association represents :________________

________________________________________________________________

Objective of Organization ___________________________________________

Approximate annual income (gross)

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

A copy of the Rules and Regulations of the Chambers / Association as also a list of Office - bearers of the current year and a complete list of Members of the Chamber / Association are enclosed.

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.