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PATRON MEMBERSHIP FORM
Our cheque/DD/UTR No
Dated
date_range
drawn on

(Bank) for Rs. 3,00,000/- plus 18% GST to be added being the annual Membership fee payable by us.

Name of the Company
Address
Telephone
Fax
GST Registration Number
Name of Chairman
Name of Managing Director
Name of Chief Executive officer
Annual Turnover (previous year) (Rs. in Crores)
Name of Nominee on the Managing Committee
Nature of Business
Dealing in Specific Sector/Industry
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