INDO MYANMAR
CHAMBER OF COMMERCE & INDUSTRIES
 
APPLICATION FORM FOR MEMBERSHIP
ALL BLOCK LETTERS
Note : It is essential that complete information be provided to expedite processing of your application
Name of Applicant
(Firms, Jt Stock Co, Individual)		 : 
Business Address : 
 
City : 
 Pin : 
State : 
Phone  : 
Fax No.   : 
E-Mail  : 
Website  : 
Date of Establishment :
Cable  : 
  Authorised Representative   Designation   Mobile No
1. _____________________________   _________________   ________________
2. _____________________________   _________________   ________________
Describe briefly type of business, service and products
 
Annual sales (approximate)
Domestic 20 Value Rs.  ______________ Quantity  ______________
Export 20 Value Rs.  ______________ Quantity  ______________
Bankers (Please give full address)
 
Proposed by : _______________________ Sign  _____________________
Representing: _______________________
Seconded by : _______________________ Sign  _____________________
Representing: _______________________
.......................................................................................................................................................
(FOR OFFICIAL USE ONLY)
Received on
Membership Accepted / Rejected at the Managing Committee Meeting held on ____________
 
Secretary  
Membership Ordinary (O) / Life (L) No  _______________________
 
 
 
P.S. Prososer and seconder should be members
of the Chamber		 PRESIDENT
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