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MEMBERSHIP APPLICATION FORM

I/We

Address

Phone

Cell

Fax

Website

Wish to enlist myself . ourselver as member of the chamber in the following category Please (3) tick the appropriate box

Member Member Association Crop. Member Life Member Associate member

We have read the aims of the chamber and agree to abide by its constitution, rules & regulation in force from time to time (Memorandum & Article of Association).

I am / we are a / an

Individual Prop. Firm Part. Firm Pvt. Ltd. Co. Ltd. Co Association

Date of Birth

Year of establishment

My / our main activity is th field of :

Industry Trading Exports Service Industry Professional

My / Our nature of business is

Name, Designation & Address of Proprietor /Partners / Directors (as the case may be)

I / We authorize Shri

Res. Address

Phone

Cell

E-mail

I am / We are remitting Rs.

Rupees

being admission fee of Rs

together with one year subscription of Rs.

for the year

vide case / Cheque No.

Dated

drawn on

in favour of “ODISHA CHAMBER OF COMMERCE OF ODISHA”.

I/We understand that my / our membership is subject to approved by the managing committee / Executive body of the chamber

We aim to connect entrepreneurs, support business growth, and help companies achieve sustainable success.

Open Hours

Monday – Friday

11am – 4pm

Contact Us

Plot No. -N2/150, IRC Village, Bhubaneshwar, Odisha - 751015
odishachamber@gmail.com
+91-9311262262

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