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Affiliate Membership Form

    Dear Sir/Madam,

    We would like to apply for 'AFFILIATE MEMBERSHIP' of ICEMA. The Membership Application Form duly completed along with the relevant supporting documents are attached herewith.

    Please acknowledge the receipt and confirm our membership.

    Details of the Applicant Company

    Name of the Company*
    Name of the MD/CEO/CMD/Head*
    Designation*
    Address*
    Telephone(off)*
    Mobile*
    Email*
    PAN Number*
    TAN Number*
    GST Number*
    Website*
    Nature of Business – Manufacturers of, (Please tick the relevant box)*
    Affiliate AssociationsChassis/Compressor/Pump ManufacturersAttachments/Accessories ManufacturersAcademic/R&D Institutions/ConsultanciesOthers
    Manufacturing Plant(s) in India, If any (Please mention the plant location) *
    Company Data

    a) Capital Employed (Investment in Plant & Machinery)*
    b) Overall Sales Turnover (Last 2 years)*
    c) Sales Turnover from Construction Equipment Industry (Last 2 years)*
    Major Activities

    Manufactures/Agents of/Services rendered*
    Submitted by

    Name*
    Designation *
    Mobile No *
    Email *