Membership-form

Download Membership Form

1. Registration Under Chapter
2. Name of Enterprise
3.(a). Name of the Proprietor / Partner / Director / Promoter:
(b). Upload Photo
Only PDF, JPG or PNG file Upload( less than 1MB)
4. Constitution
5. Share Holding
6. Enterprise promoted by:
Women
Divyang (Physically Challenged)
7. Caste/Tribe Name
8. Caste Certificate
Only PDF, JPG or PNG file Upload ( less than 1MB)
9. Address:
(a). Registered Office
Country
State
City / Town / Tehsil
District
Postal Code
Landline (With STD Code)
Mobile
E-Mail
Business Website
(b).Factory/Plant:
Same As Registered Office
Country
State
City/Town/Tehsil
District
Postal Code
Landline (With STD Code)
Mobile
E-Mail
(c).Permanent :
Country
State
City / Town / Tehsil
District
Postal Code
Landline (With STD Code)
Mobile
E-Mail
10. Other Company Details:
PAN No:
GSTIN:
Udyam No:
ESI Regn.
CIN No.
PF Regn.
Proprietorship/ Partnership Registration No.
11. Date of Incorporation
12. Industry Activity:
Investment in Plant and Machinery
Petroleum Products:
Specify Activity:
13. Industry Category:
14. Total Number of Employees
15. National Industry Classification (NIC) Code for Activities

(If You select industry activity is trading then Point No. 15 not for you.)

NIC Activity
NIC 2 Digit Code
NIC 4 Digit Code
NIC 5 Digit Code
NIC 2 Digit Code.
NIC 4 Digit Code
NIC 5 Digit Code
Add More Activity

16. No. of SC/ST Employees
17. Turn Over
(In Lakhs)
18. Our Products:
19. Raw Materials reqd:
20. Our Major Clients:
21. Probable Clients:
22. Are you interested in Export/Import of your Products/Services? :
23. Do you have any other firm/business/sister concerns?:
If yes, Name of the firm:
24. Have you adopted DICCI voluntary code of conduct?
25. Have you attended any

(Number of events attended in the last financial year)?:
26. Have you attended any trade fair / exhibition?
27. Have you availed any government subsidy? :
NSSH/NSIC
Central Government Scheme
State Government Scheme
Subsidy Scheme:
28. Introduced By
29. Form submitted for
30. Membership Type
31.Mode of Payment

Only DD/NEFT in favour of “Dalit Indian Chamber of Commerce and Industry” payable at New Delhi

Bank Details :
Bank Name :

STATE BANK OF INDIA

A/C HOLDER :

DALIT INDIAN CHAMBER OF COMMERCE AND INDUSTRY

Account No :

38410650441

Account Type :

Current Account

IFSC :

SBIN0013913

Bank Address :

SME BRANCH SOUTH EXTN, NEW DELHI


I, on behalf of my enterprise, hereby declare that all the above information submitted by me is correct to the best of my knowledge and that I am aware of the terms and conditions of the membership for Dalit Indian Chamber of Commerce and Industry (DICCI). DICCI reserves the right of acceptance of the membership. If any of the above submitted details are found to be false/malicious, DICCI reserves the right to reject/discontinue the membership without any notice. I understand that the membership fee once paid shall not be refunded under any circumstances. I hereby agree to all terms and conditions of membership and give my consent to use the above mentioned data for organizational purposes and/or other statutory compliances as that may be deemed necessary by Central/State Governments.

DICCI Head Office

Dalit Indian Chamber of Commerce and Industry
Office No.111, Block - B, 1st Floor, Parmar
Chamber Bldg, Sadhu Vaswani Chowk,
Pune Station Area, Pune 411001.
Phone: 020-2606 8800,
Email: info@dicci.in
URL: https://dicci.in

DICCI Corporate Office

Dalit Indian Chamber of Commerce and Industry
E-4, 1st floor
South Extension I,
New Delhi, Delhi 110049
Phone : 011-24690014
Email: info@dicci.in
URL: https://dicci.in

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EXPORT & IMPORT OPPORTUNITIES FOR SMEs

Further to the visit of DICCI Leadership team to USA, UK & UAE and continued engagement with DICCI International chapters and partners to enable our members export/Import to various countries and we have singned MoU with various partners in these countires.

As part of the MoUs we intend to enable our members for both Exports and Imports

As a starting point
1. We are conducting a survey to understand the KEY CHALLENGES IN EXPORT & IMPORT FOR SMEs to develop a holistic SME representation to various stake holders to overcome the same.
2. Expression of interest for Export and Imports with specific products.

Request our Members to participate in the survey to present the same to our various stake holders for a outcome based action.

From Link
https://forms.gle/fNLcdULsGGYUttKJA

DICCI Corporate office

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