FOKIA MEMBERSHIP FORM 
( * = Feilds must to field )

*Name of the Company :     

      

 Head Office:

*Address :

    
*City :
 		 If "Other"
Type your current location

*Phone :

    

Fax No :

  

*Email :

    
Local Office in Kutch: (Optional)

Address :

  
City :
If "Other"
Type your current location

Phone :

  

Fax No :

  

Email :

  

Contact Persons :

 Contact Person : 1

*Name :

    

*Designation :

    

*Mobile :

    

*Email :

    
Contact Person : 2

Name :

  

Designation :

  

Mobile :

  

Email :

  

* The product manufactured :

  

*The present investment in plant & machinery   (Approx)  in lacs :

     

* The investment in Land :

    

*The total recruits in Kutch  unit :

    
-: Fees Structure :-

Sr. No.

Particulars

Admission Fees

Annual Fees

1

For small scale associations

Waived

Rs.5000

2

For the units having Eligible investment between
Rs.5crore to Rs.50crore

Rs.15,000

Rs.15,000

3

Eligible investment between
Rs.50 crore to Rs.100 crore

Rs.25,000

Rs.25,000

4

Eligible investment betn
Rs.100 crore to Rs.500 crore

Rs.25,000

Rs.35,000

5

Eligible investment beyond
Rs.500 crore

Rs.50,000

Rs.50,000

We hereby intend to be a member of the Federation of Kutch Industries Associations, and will abide by all the rules and regulations, framed by the governing body from time ot time. Please find enclosed Cheque / DD No.   dated  drawn on  payable at State Bank of India, Anjar branch, A/c. No. 30833539134, in favour of 'Federation of Kutch Industries Associations' for Rs. .

Place:                                               Date: