The All India Plastics Manufacturers' Association: Membership Updation Form
The All India Plastics Manufacturers' Association: Membership Updation Form
AIPMA House, A-52, Street No. 1, M.I.D.C. Marol, Andheri (East), Mumbai - 400 093, Maharashtra, INDIA.
Telephone: +91 22 6777 8899 Fax: +91 22 28216390
Email: [email protected] Website: www.aipma.net
AIPMA/MEM/F/06
Address : ____________________________________________________
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Tel No. (with STD Code) : ________________________________ Fax No. (with STD Code): _______________________
Category : _______________________________________________________________________________
(Manufacturer/Processor/Trader/Distributor/Exporter/Importer/Ins tu on/Others)
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Specimen Signature
Sr. No. Name of Authorised Representa ve Designa on Date of Birth Mobile No.
(with Black Ink Only)
1.
2.
DATE: _____________________________