COMPANY MEMBERSHIP FORM TO APPLY FOR MEMBERSHIP PLEASE COMPLETE ALL INFORMATION COMPANY INFORMATION Company Name Address Email ID Office Contact No. Government Registered Certificate Attachment (Company Registar, PAN ) (Filesize < 1 MB | JPG, PNG) Company Services Total Number of Employee Owner's Name Contact No. Document Attachment (Citizenship / NID) (Filesize < 1 MB) Emergency Contact Name Contact Number Designation Reason for Joining AVAAN Please SCAN the QR provided below. NOTE: In Remarks section during transaction, please type your name. Once completed, attach the receipt as attachment. Receipt Attachment (Filesize < 1MB | JPG, PNG) TERMS & CONDITIONS I have read and agree to AVAAN's Terms & Conditions Send Yearly membership fee: Rs. 15000.00
