FEDERATION OF INDIAN INDUSTRY C-201, AWHO, SECTOR-49, Sohna Road, Gurugram INDIA

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1 Dear Sir, We wish to apply for FII membership. The application form, duly completed, is submitted along with relevant supporting documents. Kindly acknowledge receipt of the above and confirm our Membership. Yours Faithfully (Signature) NAME - DESIGNATION - ORGANISATION - ADDRESS -

2 Name of the Company : Name of Chief Executive : Name of officer : for liaison with FII Phone: Fax: Website: (If you have other offices in India/abroad, Please attach their complete addresses: Type (indicate) Manufacturing/ Service/Foreign/Multinational Sector (indicate) Public Sector/ Public Limited / Private Limited Joint Venture % of foreign holdings (Please name the foreign partners) Please Indicate Large Medium Small Company data (a) Capital employed (Investment in plant & machinery) : Rs.

3 (b) Sales turnover (last two years): Rs. in year Rs. in year Major Activities How do you expect to benefit from FII Membership? : Payment details Membership fee: Rs. FII Performa Invoice Reference: Our cheque /DD No. Dated Drawn on favoring Federation of Indian Industry is enclosed. Encl: Latest Annual Report/ Balance sheet/ Audited Accounts FII DETAILS:- CIN No. U74999DL2015NPL Service Tax No. AACCF6906BSD001 Pan No. AACCF6906B Bank Details: A/c no IFSC CODE ALLA Allahabad Bank Branch Sohna Road, Guru gram

4 Entrance Fee* For purposes of membership, large, medium and small units are defined as follows: Enterprises Investment in plant & machinery One Time Entrance Fees Manufacturing Sector Micro Enterprises Does not exceed twenty five lakh rupees Rs 2,500 Small Enterprises More than twenty five lakh rupees but does not exceed five crore rupees Rs 2,500 Medium Enterprises More than five crore rupees but does not exceed ten crore rupees Rs 5,000 Those members, that belong to neither of the 3 categories - Micro, Small Large Enterprises or Medium (either in Manufacturing or Services), may be considered as Rs 15,000 belonging to the "LARGE" category Enterprises Investment in equipments Service Sector Micro Enterprises Does not exceed ten lakh rupees: Rs 2,500 Small Enterprises More than ten lakh rupees but does not exceed two crore rupees Rs 2,500 Medium Enterprises More than two crore rupees but does not exceed five core rupees Rs 5,000 Those members, that belong to neither of the 3 categories - Micro, Small Large Enterprises or Medium (either in Manufacturing or Services), may be considered as Rs 10,000 belonging to the "LARGE" category Associate Member Rs 10,000 Affiliated Association / Institutional Member Rs 2,500 (National) *Entrance fee shall be refunded in case the application is rejected For overseas Applicants as on 15 th Jan USD 1 = INR 64 GBP 1 = INR 88 Euro 1 = INR 78

5 Annual Subscription Annual Subscription for various categories are as below: Member: GROSS SALES TURNOVER Amount (Rs) Not exceeding Rs 50 lakhs Rs 10,000 Exceeding Rs 50 lakhs but not exceeding Rs 5 crores Rs 15,000 Exceeding Rs 5 crores but not exceeding Rs 10 crores Rs 25,000 Exceeding Rs 10 crores but not exceeding Rs 40 crores Rs 50,000 Exceeding Rs 40 crores but not exceeding Rs 100 crores Rs 75,000 Exceeding Rs 100 crores but not exceeding Rs 250 crores Rs 1,00,000 For turnovers Exceeding Rs 250 crores, Membership proposals submitted on request. Proof of the latest investment figure (either a registration certificate or a certification by the auditors) is to be submitted Affiliated Association/Institutional Member - Rs. 30,000 Associate Member - Rs. 50,000 NOTE: 1. For fresh set up Companies not yet started production: Rs. 10,000/- p.a. (fixed) st payment: Full for admissions during Jan Mar; 3/4 th for Apr-June; Half for admissions during Jul Sep; 1/4 th for Oct-Dec. 3. Membership Subscription is calculated on the basis of calendar year (Jan - Dec) 4. GST Extra For overseas Applicants as on 15 th Jan USD 1 = INR 64 GBP 1 = INR 88 Euro 1 = INR 78