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The Secretary General
Associated Chambers of Commerce and Industry of
Uttar Pradesh (Asocham U.P.)
2/210, Vikas Khand, Gomti Nagar,
Lucknow-226 010

Dear Sir,

We hereby apply to get ourselves enrolled as Ordinary/Life/Associate/Patron Member of the Association.

We have read the Memorandum and Articles of Association of the Chamber and shall abide by all the existing rules and regulations and also by those that may be passed in future by the Managing Committee or the General Body of the Chamber.

A cheque/demand Draft No. ……….. dated ………….. for Rs…………. Drawn on………………………………on account of Admission fee Rs1000/- and Annual Subscription Rs……….. for the year ……… is enclosed.
Dated …………..
Name of the Bankers Name ----------------------------------- ---------------------------- Address --------------------------------------------------- -----------------------------------
----------------------------------------------------------------------- ------------------------

Proposed by …………… Signature
Seconded by …………… (with rubber stamp)
--------------------------------------------------------------------------------------------------

1- Class of Membership Ordinary/Life/Associate/Patron
2- Address to be registered ----------------------- ---------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------- -------------------------------------------
3- Nature of Business ------------------------------------------------
4- Paid up Capital ----------------------------------------------------
5- Annual Turn Over --------------------------------------------------
(in case of Companies)
6- Name of the representative (in BLOCK letters) ------------------------------------------

7- Fax No. …………… … Tel Nos………… (office)
E-mail Address ------------------------ STD Code…….(Works)/……...(Res)
--------------------------------------------------------------------------------------------------

TO BE FILLED BY OFFICE

Date of Managing Committee Meeting in which admitted ……………………
Membership No………………..

Secretary General