APPLICATION FOR MEMBERSHIP

To,

The Hon. Secretary

Association of Multimodal Transport Operators of India

C/o. CKB, 1st Floor, 20,Rajabhadur Mansion,

Ambalal Doshi Marg., Fort, Mumbai – 400023.

Dear Sir,

We hereby apply for Member/Associate Membership of the Association of Multimodal Transport Operators of India and declare that the details given in Annexure are correct in every respect.

The details of Membership Fees are under:-

Particulars / MTO Member / Associate Member
Admission Fee / Rs.10,000.00 / Rs.10,000.00
Annual Subscription Fee / Rs.12,000.00 / Rs.9,000.00
Add :- Service Tax 14%
On Admission Fee + Subscription Fee / Rs.3,080.00 / Rs.2,660.00
SBC 0.5% / Rs.110.00 / Rs.95.00
KKC 0.5% / Rs.110.00 / Rs.95.00
TOTAL to pay / 25,300.00 / Rs.21,850.00

Membership Fees are due on the date of the Invoice, payable within 30 days of Issuance

AMTOIreserves the right to claim interest on delayed payment

Additional Membership

Patron (Life) MembershipRs.7.50 Lacs + S.Tax applicable

Term Gold Membership (15 Years)Rs.2.50 Lacs + S.Tax applicable

Yours faithfully,

Date:- 25/12/2017 (To be signed by a Partner, Director, Manager or any

Officer duly authorized by Power of Attorney)

Proposed by______

(AMTOI Member) (Signature)

Seconded by______

(AMTOI Member) (Signature)

A N N E X U R E

1 / Membership Year / 01.04.2017 – 31.03.2018
2 / Full Name of Applicant
3 / Pan Number Of Applicant
(attach copy)
4 / Address for Communication
Telephone (Office)
Fax
Mobile
E-Mail & Website
5 / Proof of Address (Any Two)
(Shops & Establishment, Telephone Bill, Electricity Bill, Bank Statement)
6 / Names of the
Authorized Representative,
Designation & E-mail id
7 / MTO License Number
Dated
Validity
FM :- TO :-
8 a) / Paid-Up Capital as declared to D.G. Shipping (Latest)
b) / Turn-over as declared to D.G. Shipping (Latest)
c) / Details of Insurance Coverwith validity
9 a) / If Joint Stock Company, is the applicant registered in India as a company incorporated under the Indian Companies Act, if so please state the place and date of registrationwith ROC REG No.
b) / If not, please state the country of incorporation
10 / Name and address of Bankers
11 / Name, address and nationalities of all Partners, Directors, Managers, etc. Please also state the name of the Chief Executive.
Name and Designation / Nationality / Office Address / Residential Address

(Please attach in a separate sheet of Annexure 11)

Yours Faithfully,

Managing Director/Director/CEO

Note :-

  1. Please furnish all details on your ‘Letter Head’
  2. Please attached Xerox copies of (a) MTO/DGS Certificate (b) Insurance Cover (c) copy of PAN Card
  3. Please issue the Cheque/Demand Draft / RTGS in the name of –“Association of Multimodal Transport Operators of India”
  4. The fee paid by a new member is valid for that corresponding Financial year only
  5. BUILDING FUND FOR THE YEAR 2017-2018 IS RS.12000/- IS APPLICABLE