Application Form - Palwal Industries Association

DELHI-MATHURA ROAD, NEAR PRITHLA TELE. EXCHANGE,
VILL: PRITHLA, DISTT. PALWAL (HARYANA)
E-Mail: pia.palwal@gmail.com

Membership Application Form

To,

Hony. General Secretary,
Palwal Industries Association,
Delhi-Mathura Road, Prithla (Haryana)

I/We desire to be a Member Association/Industry of the association and agree to abide by the rules and regulations.

Date

Upload Signature

Admission Fee

Subscription Fee

Cheque/DD No.

Bank

Date

Nominated Representative

Name of the Industry Constitution

Limited Pvt. Limited Proprietorship Partnership

Address Email Phone Mobile

Same as Registered Office Address Email Phone Mobile

Website Quality Accreditation (ISO etc.)

Directors / Partners / Proprietor

Year of Establishment

No. of Employees

Male

Female

Total

No. of Shifts Manufacturing Process

Signature & Seal

Designation

Name (Block Letters)