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Membership Information

You have selected the Associate membership level.

Joining Fee - 5,000/- Annual membership fee - 10,000/-

The price for membership is INR 15,000.00 now. Customers in GST will be charged 18% tax.

Membership expires after 1 Year.

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Associate

1. Entity Information —

Name of the Company / Organization

Phone Number

Email ID

2. Factory / Manufacturing Unit Details —

Unit Address

Phone Number

Email ID

3. Statutory & Registration Details —

(Please attach self-attested copies of the following certificates)

GST Registration No

PAN

DIN (Director Identification No)

LLPIN (if applicable)

CIN (if applicable)

UDYAM/MSME (if applicable)

Mfg. / Trade License No

4. Leadership & Communication —

Name(s) & Designation of Authorized Signatories:

Name 1

Name 2

Name 3

Name 4

Official WhatsApp Group Contacts: —

WhatsApp Contact Name

WhatsApp Contact Number 1

WhatsApp Contact Number 2

Approved Email for Correspondence

Nature of Business

I/We hereby declare that the information furnished above is true and correct to the best of my/our knowledge and belief. I/We understand that any false or misleading information may result in rejection or cancellation of the start-up membership. I/We agree to abide by the rules, regulations, and code of conduct of the Association as applicable from time to time.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

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ceo@bipaindia.org

+91 7075846679

Membership Information

Account Information

Associate

Billing Address

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