भारतीय स क माक संगठन, के य रे शम बोड,

SILK MARK ORGANISATION OF INDIA, CENTRAL SILK BOARD,

व मं ालय - भारत सरकार MINISTRY OF TEXTILES – GOVT. OF INDIA
व लेकुलम, प लतेर (पो ट) ईमेल Email
Vallekulam, Pallatheri - Post palakkad@silkmarkindia.com
पाल काड PALAKKAD – 678 007 टे ल फोन: -Phone: - 0491 - 2583011

APPLICATION FOR RENEWAL OF AUTHORISED USER OF SILK MARK

We wish to Renew the registration for Authorised User of Silk Mark The prescribed renewal fee
in the form of RTGS/NEFT to Central Bank of India, Palakkad Account No. 3026553466, IFSC Code –
CBIN 0280968 or Demand Draft in the name of “Silk Mark Organisation of India, Palakkad is enclosed.
The details of Firms are as below:-

1. Name & address of the firm

( In Capital Letters)

FAX No
Telephone no

Email address

GST No.

2. Nature of Business : Manufacturer / Trader / Exporter

3. Nature of Organisation : PROPRIETORSHIP / PARTNERSHIP / JOINT STOCK COMPANY /

CO-OP SOCIETY / APEX SOCIETY
4. Details of Renewal Package :-
Renewal Fee Subscription fee
Cost of 1000 GST @18% on Total
to Silk Mark
Labels Label cost
Magazine
Rs. 0/- Rs. 5000/- Rs. 900/- Rs. 350/- Rs. 6250/-

5. SMOI Membership No./ Year :

6. Renewal Due on :

7. Actual Date of Renewal :

Payment details made by : RTGS/ Cash/ Cheque/ Demand draft

a) Name of Bank :
b) MUR/ DD No. and Date :
c) Amount in Rs. : Rs. 6250/-

Place:
Date:
Signature and Name of the Authorised Signatory
Recommended for Renewal

Countersigned by Silk Mark Executive

Signature of the Senior Executive, SMOI