Sayakha Industries Association

(800) 123-4567

Get in touch with us
info@siaindia.org

Send us an e-mail

Member

Details of Industry

Name		Tele No
Address		Mobile
		Email
		Website

Head / Regd.Office Address Same as above:

Address	Phone No	Fax No	E-Mail	Web Address

Representatives

Name	Designation	Mobile	Photo(to be pasted)

fee paid by cheque/DDNo	Date	Amount	Bank

Water Connection No:		Drainage Connection No
DGVCL Consumer No		Feeder No	HT/LT

Product	Raw Material

Signature of Proprietor / Authorised Partner / Director / Manager of the Company with Rubber Stamp

Proposed by Member Industry (Name & Address)	Seconded by Member Industry (Name & Address)

Signature with Rubber Stamp	Signature with Rubber Stamp

Please attach :

Copy of Possession Receipt or Final Transfer order of GIDC
Copy of Udhyog Adhar for MSME and DGTD/IEM Certificate & Factory Licence for large Industries
Copy of Motive Power Bill
Copy of Partnership deed in case of partnership firm or Memorandum & Articles in case of Pvt Ltd / Limited Company
Copy of notarized Sole power of Attorney in favour of the authorized representative duly signed by the proprietor and in case of Partnership firm signed all partners In case of Pvt Ltd / Limited Companies,Board Resolution and Authority Letter/Power of attorney dully signed by the chairmen/vice Chairmen/Managing Director/Director
One Stamp size photograph of each authorized representative in addition to the photograph pasted at the space provided
Copy of GST Registration
Copy of Registration Certificate of RoC in case of Pvt Ltd Companies

MEMBERSHIP FEE

	Large Scale	Medium Scale	Small Scale
Admission Fee	Rs.50,000.00	Rs.25,000.00	Rs.10,000.00
Annual Membership Fee	Rs. 0.50 Per Sq.Mtr.Plot Area	Rs.0.50 Per Sq.Mtr.Plot Area	Rs.0.50 Per Sq.Mtr.Plot Area
Life Membership Fee

+GST 18% EXTRA

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