Membership Application Form

Before filling the form please read the Membership Details and Membership Fees. Click here for Details

E-mail id: contactus@ipirti.gov.in

Name:*
Firm:*
Email Address :*
Postal Address Line1 :*
Postal Address Line2 :
City:*
State:*
Pincode:*
Telephone No :*
Fax No:
Structure
Registered as Small/Medium/Large Scale Industry :*
Products Manufactured :*
Installed Capacity :*
Annual Production :*
Wheather BIS License :*
Total No of Employees:*
No of Technical Persons :*
Details of Application Fees Paid :*	DD No./Cheque No. Amount Paid
Comments :*