logo

SANTAL PARGANA CHAMBER OF COMMERCE & INDUSTRIES

Regtd. under S.R.A. XXI of 1860 (Jharkhand) | Regtn. No. : 708/2009-10
Affiliated To : Federation of Jharkhand Chamber of Commerce & Industries, Ranchi
DEOGHAR-814112 (JHARKHAND) | spccijharkhand@gmail.com | 7004191007, 9934503132, 7717726102

Membership Application Form

User Type :
1. Name of Individual, Firm, Company, Association or Corporate (Paid up capital of above Rs. 50 Crore)
2. Address: Office: Factory: 3. Category: Subscribed/Life/Patron Membership:
(1. Individual, 2.HUF, 3.Proprietorship Firm, 4. Partnership Firm, 5.Company, 6. Association, 7. Corporate)
Year of Establishment
Name of Business 4. Contact Numbers: Email id: 5. Name and contact details of the two other representative(Not for individual membership) i order of priority:
I. Name: Status or Relation in the Firm/Company: Mobile No: Email:
ii. Name: Status or Relation in the Firm/Company Mobile No.: Email:
6. Additional Information of the Unit:
I. Whether a small, medium or large industry:
ii. MSME Registration No.:
iii. GST No. of Firm/Company:
Vi. Any other Registration with Govt. Dept.:
7. If member of any chamber or association, give details: