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Application form for CORPORATE MEMBERSHIP FICCI Federation of Indian Chambers of Commerce and Industry Industry’ Voice for policy Change OS Application Form For Corporate Membership DETAILS OF THE APPLICANT COMPANY Name of Company Address Pin Tol Fax Website PAN No, TAN No. GST No CEO} Chairman President Designation Address Pin Tel (OM Mobile Fax, E-mail Main line of Business Other Business Interests Latest Gross Turnover in Crores (INR) ___ Financial Year No. of Employees (approx.) Year of establishment Location of major factories/ branches Export Turnover $ Year. Countries we export to Whether the Company's Listed 0 Yes a No Key Indian states of your business interest

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