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	Application Form For Corporate Membership
Name of the Company:
Legal Status:
Listed in the Stock Exchange:	Yes No
Nature of Business
Registered Office:
Pincode:
Designation:
Telephone:
E-Mail:
Website:

If Company is registered outside Mumbai, address of the branch office in Mumbai
Address:
Pin:
Telephone:
E-Mail:

Name and Address of the Chairman/Director/other Official who would represent the company in availing the benefits of Membership of Sabha.
Name:
Designation:
Address:
Telephone:
E-Mail:
We hereby undertake to comply with the Memorandum and Rules and Regulations of the Sabha and would request you to consider our admission to the Sabha as a Corporate Member.
Cheque/DD No:
Dated:	/ /
Bank Drawn:
Branch:
for Rs. 1,00,000/- is enclosed.