Technology Center Member Application Form | EEPC India

Organization Details

Are you a member of EEPC India?

Yes No

Membership / RCMC No.*

Type of Unit *

MSME Others

Other type of unit *

MSME Certificate *
(In pdf format having maximum size of 5 MB)

Organisation name *

Type of organisation *

Address*

State/Union Territory*

Region*

City*

Pin Code*

Phone*

+91

Fax

+91

Website

E-mail *

PAN No.*

TAN No.*

IE Code*

CIN No.

DIN No. holder

DIN No.

GSTN - Provisional ID No.

GST - Application Reference Number

Details of Directors

Name

DIN No.

Mobile

+91

Details of the Technical Person

Name

Designation

Mobile

+91

Business Details

Name of the product(s)

HS code(s)

Main line of business of application

Total annual exports (in million USD) last three financial years

Accreditation to international standards (viz. QS, ISO, TS, etc.)

Nature of business *

Manufacturer exporter

Merchant exporter

Export house

Others

Other nature of business *

Membership Fees

Membership fees for Technology Centre Rs. p.a One time membership fees for Technology Centre Rs. 500

(GST is applicable in addition.)

Payment mode

By Cheque/DD By Bank Transfer Online

Payable amount (Rs.)*

Cheque/DD No.*

Cheque/DD date*

Issuing bank*

Payable amount (Rs.)*

UTR No.*

Transfer date*

Payable amount (Rs.)*

Payment gateway

Atom Billdesk

Company Profile

Company Profile with product details (80 to 100 words)

[maximum 100 words]

Verification Code:

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GST credential to be used

GSTIN No. : 19AAACE8441J1ZF
GSTIN Registered Address : Vanijya Bhawan, 1st Floor, International Trade Facilitation Centre, 1/1, Wood Street, Kolkata - 700016
GSTIN Location : West Bengal

Membership Application Form

Organization Details

Details of Directors

Details of the Technical Person

Business Details

Membership Fees

Company Profile

GST credential to be used

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