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    Dear Sir,

    We hereby request you to enrol me/us, as
    PatronLifeCompany Member / yearly member of your Association as per the rules regulations in force.

    I/we hereby agree to abide by the aims and objectives of the Association and also the rules and regulations that may be amended / revised from time to time.

    MFAI GST No - 27AAATM0092J1ZK

    Your Photograph

    Name of individual / Company

    Tel No(Office)

    Tel No(Residence)

    Fax

    Email

    Address

    Enter GST No.

    We will authorised to attend the meetings of MFAI on behalf of our company. Please specify the following :

    Type of Company

    Category of industry

    Year of establishment

    No. of employees

    We are sending herewith Rupees toward enrolment and membership charges by

    Cheque/Demand Draft No

    Drawn on Bank

    Date

    Branch