All India Industrial Gases Manufacturers’ Association Membership Application Form

The Secretary

All India Industrial Gases Manufacturers’ Association

215 Square One, C-2 District Centre, Saket

New Delhi – 110 017

Dear Madam,

1.   We (Company Name)…………………………………………………………………………………………………

(Full Address)………………………… …………………………..……………………………………………………………

Place…………………………………….………….    Pin………………………………   State………………………………………

Tel. Off…………………………………..…………    Fax…………………. ….………   E-mail…………………………………….

Resi………………………………………

Desire to enlist ourselves as an Ordinary / Associate member of the All India Industrial Gases Manufacturers’ Association

2.   We nominate

Shri………………………………………………..……………Designation……………………………………………..…….

(Full Address)……………………………………………………………………………………………………………………………

Place…………………………………….………….    Pin………………………………   State………………………………………

Tel. Off…………………………………..…………    Fax…………………. ….………   E-mail…………………………………….

Resi………………………………………

3.   Brief particulars about our activities in the gas industry are as follows :-

(a)     Factory for manufacture of…………………………………………….…………………………………………………….

…………………………………………………………….is/are located……………………………………………………….

(b)     Licence/Registration/SSI No……………….………………………………………………………………………………

(c)     Licenced/Registered capacity for each item…………..………………………………………………………………

(d)     Date of commencement of production……………………….…………………………………………………………

(e)     Details of   Plants installed/ordered with make and capacity……………………………………………………..

(f)     Any other …………………………………………………………………………………………………………………………

4.     We are remitting Rs. 11,000/- being one year’s annual subscription of Rs. 10,000/- and entrance fee Rs.1000/- by Demand Draft No./Local Cheque No…………………………….. dated ……………………. in favour of “All India Industrial Gases Manufacturers’ Association” payable at New Delhi.

Thanking you,

Yours faithfully,

(a) Proposed by :            Name & Designation………………………………

    (Ordinary Member)    Signature……………………………….…………..

                                      Company Name & Seal…………..……………

(b) Seconded by :          Name & Designation………………………………

      (Ordinary Member)  Signature……………………………….…………..

                                     Company Name & Seal…………..……………

Documents to be submitted with the Application Form

  1. Supporting papers with regard to your business activities, copy of Registration Certificate, Electricity Bill
  2. Approval of PESO
  3. Details of Production Capacity

CLASSIFICATION OF MEMBERS

Entrance Fee                                                                                      –     Rs.  1,000.00

Membership Subscription

1.   Ordinary Member                                                                        –     Rs.   7,500.00

2.   Associate Member                                                                      –     Rs. 10,000.00

      (Equipment & Allied Manufacturers)