| Application Form | ||||||||||
| (For PetroFed Membership) | ||||||||||
| Date ___________________ | ||||||||||
| Director General | ||||||||||
| Petroleum Federation of India (PetroFed) | ||||||||||
| 1st Floor, IndianOil Bhavan, | ||||||||||
| No.1 Sri Aurobindo Marg, Yusuf Sarai, | ||||||||||
| New Delhi - 110 016 | ||||||||||
| Sub : Application for Corporate/ Associate/ Ordinary Membership | ||||||||||
| Dear Sir, | ||||||||||
| We have pleasure in applying for the Corporate (Group A or B or C)/ Associate/ Individual/ | ||||||||||
| Ordinary Membership of PetroFed as per following details: | ||||||||||
| Details of the applicant : | ||||||||||
| Name ___________________________________________________________ | ||||||||||
| Address (Regd. Office) ___________________________________________________ | ||||||||||
| ________________________________________________ Pin __________________ | ||||||||||
| Tel : | ________________________ | Fax: | ______________________________ | |||||||
| Address in Delhi (if any) __________________________________________________ | ||||||||||
| ________________________________________________ Pin __________________ | ||||||||||
| Tel : | ________________________ | Fax: | ______________________________ | |||||||
| Main line | ______________________________________________________________ | |||||||||
| of | ||||||||||
| business | ______________________________________________________________ | |||||||||
| Our latest turnover Rs. ___________________________ | Year | _______________ | ||||||||
| Our Organisation is engaged in ______________________________________________ | ||||||||||
| activities. | ||||||||||
| We agree to abide by the Memorandum of Association and the Byelaws of the PetroFed. | ||||||||||
| All communication in the regard may kindly be sent to :- | ||||||||||
| Name | ______________________________________________________________ | |||||||||
| Address | ______________________________________________________________ | |||||||||
| ______________________________________________ | Pin __________________ | |||||||||
| Tel : (Off) _______________ | (Res) ________________ | Fax ___________________ | ||||||||
| E-mail Address | _______________________________________________________ | |||||||||
| We are sending herewith cheques/ drafts payable at Delhi for Rs. ____________________ | ||||||||||
| _________________________________ and Rs. _______________________________ | ||||||||||
| being entrance fee payable by us for Corporate Membership Group A/ Group B/ Group C, | ||||||||||
| Associate Membership, Individual Membership, Ordinary Membership (as applicable) and | ||||||||||
| annual subscription for the first year. A copy of our Balance Sheet for the year _______ is | ||||||||||
| also enclosed. | ||||||||||
| We also agree to pay the annual subscription as applicable to the category of members | ||||||||||
| and request you to place our application before the Governing Council of the PetroFed | ||||||||||
| at the earliest and look forward to receiving your acceptance of the same. | ||||||||||
| Yours faithfully, | ||||||||||
| ______________________ | ________________ | _________________________ | ||||||||
| Designation | Name | (Signature of the applicant) | ||||||||
| (Please attach latest available Balance Sheet of the company and forward with your | ||||||||||
| cheques on a Delhi Bank or a draft favouring Petroleum Federation of India payable at Delhi). | ||||||||||
| Accepted | Approved for submission to Governing Council | |||||||||
| Director General | Chairman | |||||||||
| PetroFed | PetroFed | |||||||||
| Date | ||||||||||
| For office use only | ||||||||||
| This application was put up to the Governing Council meeting held | ||||||||||
| on ________________________ in _________________________ and formally accepted | ||||||||||
| for admission/ rejected due to ________________________________________________ | ||||||||||
| _______________ | _______________ | ___________________________ | ||||||||
| (Date) | (Name) | (Signature of Chairman PetroFed) | ||||||||