FOREIGNERS

NAME OF THE COMPANY : (required)

CONTACT PERSON : (required)

Address :

TELEPHONE NO. : (O) (R)

FAX NUMBER : (required)

Your Email : (required)
WEBSITE

1. YEAR OF ESTABLISHMENT :

2. LINE OF BUSINESS :

A) SERVICE PROVIDER :

B) REAL ESTATE & DEVELOPER :

C) MANUFACTURER :

D) TRADE ASSOCIATION :

E) MNC’ S :

F) OTHERS :

3. WHAT SERVICE YOU WANT FROM IICCI :

INTERNATIONAL MEMBERSHIP FEE US$ 1600 (FOR 07 YEARS)

DETAILS OF PAYMENT : BANK TRANSFER

BANK DETAILS –

BENEFICIARY NAME – INDIAN IMPORTERS CHAMBERS OF COMMERCE & INDSUTRY, ACCOUNT NUMBER – 916020045583685
BANK NAME – AXIS BANK LTD.
BANK ADDRESS – HAUZ KHAS,NEW DELHI, IFS CODE – UTIB0000552

CORRESPONDING BANK –

J P MORGAN CHASE BANK, NEW YORK USA, SWIFT CODE – CHASUS33, AXIS BANK LTD. , ACCOUNT NUMBER 11407376,
HAUZ KHAS BRANCH, SWIFT CODE - AXISINBB552

SILVER MEMBERSHIP FEE RS. 50,000/- ($ 800)
GOLD MEMBERSHIP FEE RS. 100,000/- ($ 1,600)
PRIORITY PLATINUM FEE RS. 2,50,000/- ($ 4,100)
PRIORITY DIAMOND FEE RS. 5,00,000/- ($ 8,200)

E) DATE :
PLACE :SIGNATURE :

FOR OFFICE USE
E) MEMBERSHIP NO :
RECEIPT NO :

D) VALIDITY :

E) RECOMMENDED BY :
MEMBERSHIP NO :