Bihar Industries Association - Membership Form

(in BLOCK letters)
(in BLOCK letters)
Information Regarding Applicant
Registration & Other Details (Fill as Applicable)
(Please furnish authenticated copy of the Registration paper)
In case of Applicants for Affiliated Membership only, the following documents are to be appended (in duplicate)
(i) Constitution (ii) List of Members (iii) Primary/ focal area of activities
Names and designation of Representatives in order of preference
Representative 1
Please upload image in JPG, PNG or GIF Format only.
Representative 2
Representative 3
Amount of remittance enclosed

·         Admission Fee & Subscription fee to be paid as applicable

·         Cheque/ Draft favoring BIHAR INDUSTRIES ASSOCIATION payable at Patna

·         NEFT/ NET-Banking Payment details- BIHAR INDUSTRIES ASSOCIATION, Account No. 10038443366 State Bank of India, B.S. Exam. Board Branch, IFSC Code No. SBIN0001215

·         Please attach copies of documentary evidence for constitution details, registration with appropriate authorities, as applicable

·         Executive Council is sole authority to accept or reject any application


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