MEMBERSHIP FORM

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Organization Name *

Establishment Year

Member Represented by *

Member Since

Representative relationship to Member

Proprietor

Partner

Director

Relation to Prop./Partner

DOB

Blood Group

Nominee Name

Relationship

TIN

PIN

AADHAAR No.

GST/SSI/MSME

LANDLINE OFF

RESIDENCE

MOBILE

MOBILE 2 /WHATSAPP No.

EMAIL.ID

WEBSITE/ALTERNATE MAIL ID *

BUSINESS ADDRESS

RESIDENCE ADDRESS

Name of Partners/Directors/Shareholders if any

DOB

Blood Group

Nominee Name

Relationship

INTRODUCED BY NAME & SIGN

RESIDENCE ADDRESS CAMS No. CONFED No.

RESIDENCE ADDRESS

DECLARATION :Above information provided by me are true and correct to the best of my knowledge and belief.I hereby declare that I shall abide by rules and regulations of CAMS.

APPROVED BY

PRESIDENT

TREASRER

SECRETARY

EXECUTIVE MEMBER