Membership – Gloincco

ONLINE APPLICATION FOR MEMBEPSHIP

Category of Membership Applied*

Corporate Membership

Associate Membership

International Associate Membership

Country*

City*

Upload Photo*

Name of Company*

Address*

Tel./HP No.*

Date Incorporated*

Email address*

Other Contact No's.

Business Reg. No.*

Nature of Business*

Fax No.

Names, Address & Tel. No. of Branches / Associates (local & foreign)

Names of Propreietor / Partner / Director*

Name

Home Address*

Tel. / HP No.*

Date of Birth*

NRIC No.*

Nationality*

Declaration

I/We hereby apply to become a member of Network of Global Indian Chamber of Commerce and if admitted I/We agree to abide by the Constitution, the By-laws and Regulations of the Society. I/We certify the above information is true and complete and fully realise that omission or falsification of information will be considered sufficient reason for rejection of this application.

Cheque No.*

for RM 170.00 (being Entrance fee RM50.00 & Annual subscribtion RM 120.00) payable to Dewan Rangkaian Usahawan Global India for corporate membership or Associate Membership.

Certified copy of Busimess Registration SSM/form9, 24, 49 (Currently valid)*

Copy of Mykad / Passport*

Company Name Card if Available*

Company Profile if Available