PCCI Membership Application

1. Personal / Organization Details: Full Name of Applicant / Organization: Membership Plan (Please select):

a) Annual

Annual Membership

₹1,000

All Categories

b) Lifetime

Institutional / Corporate

₹6,000

₹5,000 + ₹1,000 Voting Authority Fee

c) Lifetime

Directors / Advisory Board

₹51,000

₹50,000 + ₹1,000 Voting Authority Fee

Premium · Life Time

d-I) Gold

Gold Membership

₹26,000

₹25,000 + ₹1,000 Voting Authority Fee

Premium · Life Time

d-II) Silver

Silver Membership

₹16,000

₹15,000 + ₹1,000 Voting Authority Fee

Premium · Life Time

d-III) Patron

Patron Membership

₹11,000

₹10,000 + ₹1,000 Voting Authority Fee

Date of Birth / Incorporation: PAN / GST / Registration No. (if any): Occupation / Business Sector: Address (Residential / Registered Office): City: State: PIN: Phone / Mobile: Email ID: Upload Your Passport Size Photo:

2. Nominee Details (For Corporate/Institutional Members only): Authorized Representative's Name: Designation: Contact Number: Email:

3. Membership Fees & Categories:

Total Amount Payable (₹): Bank Details :

Bank Name - Indian Bank
Account No – 8121721143
IFSC code – IDIB000P532

OR

Scan QR Code for Payment

Mode of Payment (Please tick):

Cash Cheque Bank Transfer QR / UPI

Cheque / Transaction No.: Date: Bank Name:

4. Declaration by the Applicant: I hereby apply for membership of the Progressive Council of Commerce and Industry (PCCI). I agree to abide by the Memorandum & Articles of Association and the Fee Policy of the Council. I further declare that the information provided above is true and correct to the best of my knowledge. Upload Your Signature: Name: Date: Place:

Progressive Council of Commerce and Industry (PCCI)

Membership Application Form

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Progressive Council of Commerce and Industry (PCCI)

Membership Application Form Download Blank Form PDF

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Membership Application Form