MEMBERSHIP
APPLICATION FORM
Particulars
to be filled in by the applicant .
Join
IPMA as:
Indian
Pump Manufacturer
Associate Member
* Indicates compulsory
field.
Kindly read the Terms & Condition
Name
of the Firm*
:
Registered
address of the firm* :
Registered
Office Tel Nos.* :
Registerered
Office Fax Nos.* :
Name
of subsidiary/associated industry within
India :
Email
Address :
Address
of subsidiary/associated industry within
India :
Factory
location and address :
Telephone
Nos of factory :
Fax
Nos of factory :
Name
of Managing Director* :
Address
of Managing Director* :
Name
of representatives to be registered :
Type
of Firm:
Whether
a Joint Stock Company (mention whether
Public Limited or Private Limited) or a
Partnership Firm or a Proprietary firm* :
Brief
history of the company since its inception* :
Whether
registered under the Factories Act. If so,
date and number of Registration* :
Whether
registered with
(a)
DGTD
(b)
Directorate of Industries
(c)
National Small Industries
Corporation
(d)
D.G.S. & D.
Has
the firm any technical collaboration and
know-how agreement with foreign firm? If so,
give detail. :
Financial
Information:
Capital
Investment*
(a)
Authorised Capital
(b)
Paid up Capital
(c)
Financial Investment
(Attach
copy of latest Balance Sheet or a
certificate from a Registered Chartered
Accountant certifying the financial position
of the firm) :
Total
area of the factory and its covered
accommodation :
Employment
Information:
Total
number of Personnel employed by the firm :
Give
a break-up of the number of officer,
clerical staff including typists and stenos,
supervisory
a)Skilled
b)Semi-skilled
c)Non-skilled
Product/
Service Information
Detail
of Sales and Service set-up* :
Types
and Capacity of pumps manufactures* :
Detail
of Principal items of Pump component
(including casting, prime movers, etc.
manufactured) :
Area
of Consulting relating to pumps (i.e.
selection, installation/commissioning) :
Brief
detail of latest three Consultancy Contract :
Names
of Manufactures/brands of pumps*
represented by Selling
Agent/Distributors/Dealers. :
Installed
Capacity (per annum in quantity and value) :
Licensed
capacity( per annum in quantity and value) :
Latest
available annual sales Turnover of Pumps,
components, spares & accessories :
Trade
Mark(s) of the product* :
Facilities
available in your Factory:
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