Name *

Date of Birth/Date of Incorporation *

Academic Qualification

Address *

State * Select your state ANDHRA PRADESH ASSAM ARUNACHAL PRADESH BIHAR GUJARAT HARYANA HIMACHAL PRADESH JAMMU & KASHMIR KARNATAKA KERALA MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ORISSA PUNJAB RAJASTHAN SIKKIM TAMIL NADU TRIPURA UTTAR PRADESH WEST BENGAL DELHI GOA PONDICHERY LAKSHDWEEP DAMAN & DIU DADRA & NAGAR CHANDIGARH ANDAMAN & NICOBAR UTTARANCHAL JHARKHAND CHATTISGARH

City *

Pincode *

Landline No.

Email *

Mobile No *

Is register address is same as communication address?

GSTIN * If not applicable please mention N/A

PAN *

Constitution * Please select CAST IRON S.G IRON STEEL ALLOY STEEL NON-FEROUS EQUIPMENT SUPPLIER MATERIAL SUPPLIER OTHER SERVICE PROVIDER

Category of membership * Please select FOUNDRY EQUIPMENT SUPPLIER MATERIAL SUPPLIER CONSULTANT OTHER SERVICE PROVIDER

Type of membership * Please select INDIVIDUAL STUDENT INDUSTRY ASSOCIATE

Proposer Name *

Proposer Membership No. *

Proposer Email *

Proposer Mobile No *

Seconder Name *

Seconder Membership No. *

Seconder Email *

Seconder Mobile No *

Turnover * Please select turnover in crore < 1 Crore, 2 representatives 1-5 Crore, 4 representatives 5-10 Crore, 7 representatives 10-25 Crore, 10 representatives 25-50 Crore, 13 representatives > 50 Crore, 16 representatives Applicable for industry members

Upload payment proof *
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Upload Pancard copy *
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Upload list of nominated representatives *
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I, the undersigned, do hereby request to be admitted to the class of membership as decided by “The Institute of Indian Foundrymen”. If admitted, I undertake to pay the prevailing fees for the membership within due date and also abide by the rules and regulations of the Institute. The information stated in this form is true to the best of my knowledge and belief and if found otherwise, my membership is liable to be cancelled. *