Scribd Logo
Upload

Welcome to Scribd!

  • 13 views

    Application Form For LIFE Corporate Membership: 1. Corporate Name (In Block Letters)

    Uploaded by

    ANIL
    This document is an application form for corporate life membership in the LIFE organization. It requests information such as the corporate name, head of corporate, business type, products, year established, number of employees, addresses, preferred communication address, names and details of other corporate contacts, areas of specialization, referees, payment details including amount and bank account information, and sections for ICC recommendation and membership number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form For LIFE Corporate Membership: 1. Corporate Name (In Block Letters)

    Uploaded by

    ANIL
    13 views3 pages
    This document is an application form for corporate life membership in the LIFE organization. It requests information such as the corporate name, head of corporate, business type, products, year established, number of employees, addresses, preferred communication address, names and details of other corporate contacts, areas of specialization, referees, payment details including amount and bank account information, and sections for ICC recommendation and membership number.

    Original Description:

    ZGGZGZ

    Original Title

    New Corp Mem

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is an application form for corporate life membership in the LIFE organization. It requests information such as the corporate name, head of corporate, business type, products, year established, number of employees, addresses, preferred communication address, names and details of other corporate contacts, areas of specialization, referees, payment details including amount and bank account information, and sections for ICC recommendation and membership number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    13 views3 pages

    Application Form For LIFE Corporate Membership: 1. Corporate Name (In Block Letters)

    Uploaded by

    ANIL
    This document is an application form for corporate life membership in the LIFE organization. It requests information such as the corporate name, head of corporate, business type, products, year established, number of employees, addresses, preferred communication address, names and details of other corporate contacts, areas of specialization, referees, payment details including amount and bank account information, and sections for ICC recommendation and membership number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Application form for LIFE Corporate Membership

    1. Corporate Name ( In Block


    Letters)

    2. Head of Corporate

    3. Business Type Industry / Supplier / Consultant

    4. Main Products

    5. Year of Establishment

    6. No of employee

    B : Address

    7. Address ( Office) 8. Address ( Works)

    State: State:

    Pin code : Pin code:

    Telephone No : Telephone no :

    Fax N0 ; Fax no :

    Mobile No :

    Email : Email :

    8. Preferred address for communication : Office/ Residence


    9. Name of other two persons from the corporate

    Name Age Position/ Designation

    Contact Details: Telephone: +91 11 26893955/26892601


    Email: [email protected], [email protected], [email protected]

    10. Specialization : ( Cryogen/ gas Production, Cryogen Storage Vessel, Supplier of Liquefier, Cryo
    Component Development, Supplier of Cryo Instrumentation, Supplier of Closed cycle refrigerator,
    Manufacturing / supplier of cryostat and cryogen transfer line, Superconducting wire/ Magnet & others )
    ------
    11. Brief Description on Specialization: (Separate sheet may be attache

    12.Name of two referees from the field of Low temperature physics/ Cryogenics

    i)

    ii)

    13. Payment Details: ( Life Membership : Total Rs 25,000/- ). Payment may be made in NEFT/ Draft
    /Cheque in favour of Indian Cryogenics Council- Delhi at Delhi.

    Payment Mode Cheque Date Bank Branch Amount


    /DD no

    NEFT/ DD
    /Cheque

    Bank Account Details for NEFT bank transfer:

    Account Name Indian Cryogenics Council Delhi


    Account No. 10596550960
    IFSC Code SBIN0001624
    Bank Name (in full) State Bank of India
    Branch Name Jawaharlal Nehru University, New Mehrauli
    Road, New Delhi-110067
    Complete branch address Jawaharlal Nehru University, New Mehrauli
    Road, New Delhi-110067
    MICR No. 110002056

    Date : Signature :
    14. Recommendation By ICC

    Application EC Decision Membership No Signature Signature


    Received alloted ( Secretary) ( President)

    Contact Details: Telephone: +91 11 26893955/26892601


    Email: [email protected], [email protected], [email protected]

    You might also like