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ILC Membership Renewal Form tier 2
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1
Personal Details
2
Additional Details
3
Payment Details
Personal Details
*
Title
*
Select Title
Mr
Ms
Mrs
Dr
Other
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*
Full Name
*
Designation
*
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Chairman
Founder
Co-Founder
Managing Director
Chief Executive Officer
Chief Financial Officer
Chief Operating Officer
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President
Vice President
Other
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*
Company Registered Office Address
*
Company Name
*
Mobile
*
Email ID
*
Membership Subscription
*
Yes, I/We accept the invitation to renew our subscription to India Leadership Council (ILC) for an
Annual Membership Fees of INR 5,50,000/-
plus taxes.
I Agree
*
Yes, I/We acknowledge and accept the Terms & Conditions specified herein.
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Company Tax Details
*
Company PAN
*
TAN No
*
GST No
*
Company Address
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Address Line 1
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Address Line 2
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Landmark
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City
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Ahmedabad
Bengaluru
Chennai
Delhi
Kolkata
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Other
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*
Country
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Zip / Postal Code
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Other Details
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Primary Sector
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Secondary Sector
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Secretary Name
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Secretary Mobile
*
Email
*
As a member, I would like to have access to ILC's initiatives across the country, while my organisation's primary operations are based in
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*
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Ahmedabad
Bengaluru
Chennai
Delhi
Kolkata
Mumbai
Pune
Other
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*
Payment Details
Details For RTGS And NEFT Transactions For India Leadership Council
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Account Name
TIMES STRATEGIC SOLUTIONS LIMITED
Bank Name
Kotak Mahindra Bank
Bank Branch
Andheri (E), Mumbai
Account No.
1011977299
Account Type
Current Account
IFSC Code
KKBK0000651
PAN No.
AAGCM8114L
GST No.
27AAGCM8114L1Z6
Phone
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