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Member Registration
CORPORATE Details
Name of Organisation:
*
Head Office:
*
City:
*
State:
*
--select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Pincode:
*
Telephone(s):
*
Fax(s):
............................................................................................................................................................................................................................................
As Above
Correspondence:
*
City:
*
State:
*
--select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Pincode:
*
Telephone(s):
*
Fax(s):
Organisation Head (Mr/Ms):
*
Designation:
*
Direct Phone:
Mobile:
*
+91
Email:
*
Educational Qualification:
*
Blood Group:
Date of Birth:
Website:
*
IM:
Yes
No
Contact Person for ISODA (The above person will be on the ISODA mailing list for all correspondence)
As Above
Name (Mr/Ms):
*
Designation:
*
Direct Phone:
Mobile:
*
+91
Email:
*
Other Organisation Details
Number of Branches:
*
Yes
No
Location
Branch Incharge
Contact No.
Add More
Turnover for last three years (your details are confidential)
*
Year
Year
Turnover (In Lacs)
2007
2008
2008
2009
2009
2010
Legal Structure of the Company
*
Proprietorship
Partnership
Private Ltd.
Public Ltd.
Public Ltd (Listed)
Government Organization
Society/Association/Trust
Liaison Office
Others – Specify
LST:
CST:
PAN No.:
*
Business Activities of The Applicant Organisation
Total Percentage
*
Software Reseller
%
Software Distributor
%
Software Services
%
Hardware Reseller
%
National Software Manufacturer
%
International Software Manufacturer
%
System Integrator
%
Others (specify)
%
TYPE AND CATEGORY OF MEMBERSHIP SOUGHT
*
FEES PAYABLE AS PER CATEGORIZATION:(Validity of the Membership 1st Oct to 30th Sept)
Fees Type in Rs
Charter
Principal Corporate (Distributors & Principals)
A. Admission Fees
5,000.00
10,000.00
B. First Year Membership
10,000.00
50,000.00
C. Annual Membership Fee
5,000.00
25,000.00
Charter Member
Corporate Member
Mode of Payment
Draft/Cheque
Cash
Amount:
No.:
Drawn on Bank:
Date:
Branch:
References
Company Name:
Contact:
Tel:
Company Name:
Contact:
Tel:
Code of Conduct
*
We have read the
‘Code of Conduct’
as applicable to members of ISODA and we agree to abide by them in its complete letter and spirit.
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