Name of the Organisation : ………………………………………………………………………………….

Name of the CEO / MD : ………………………………………………………………………………….

Name & Designation of : ………………………………………………………………………………….Principal Representative for liaison with FFSC …………………………………………………………………………………..

Phone: ………………………………………………………. Email: …………………………………………………………

Mobile: ……………………………………………………….

Address : ………………………………………………………………………………….

………………………………………………………………………………….

………………………………………………………………………………….

Scale (indicate) : Large Medium Small

Organisation Data : Capital Employed Rs………………………………………………………….

: Turnover Rs………………………… in year…………………………………

Type of Industry Annual Turnover (Rs) Membership Fee*

Micro & Small Enterprises Up to 5 crores Rs. 10,000/-

Medium Enterprises Above 5 crores till 50 crores Rs. 20,000/-

Medium/Large Enterprises Above 50 crores till 100 crores Rs. 50,000/-

Large Enterprises Above 100 crores Rs. 5,00,000/-

*One-Time Membership Fee as decided by the Governing Council of FFSC in the 13th Governing Council Meeting held on 28th February 2019 at Mumbai.

Membership Application Form

Bank DetailsFURNITURE & FITTINGS SKILL COUNCILICICI BANK LIMITED, PLOT NO B & B1 VANIJAYA NIKUNJ, ENKAY TOWER, UDYOG VIHAR, GURGAON-122002, HARYANA, INDIAA/C NO.: 114505000588, IFSC CODE: ICIC0001145, A/C TYPE: CURRENT ACCOUNT

Payment Details : Membership Fee Rs………...…………………………………………………

Our Cheque / DD No………………… dated ………………………………

for Rs. ………………………drawn on.…………………………………….

Favouring “Furniture & Fittings Skill Council” is enclosed

Encl: 1. Annual Report of the organisation & Balance Sheet 2. Organisation Profile 3. Certification of Registration 4. DD / cheque 5. Organisation PAN 6. Organisation GST

Note: Kindly attach Annexure 1- “Declaration Form” along with the Application Duly Signed.

Name: ……………………………………………. Designation: ……………………………………………………..

Signature: ……………………………………… Date: ……………………………………………………………….

Company Seal

Annexure 1

Declaration

Chief Executive OfficerFurniture & Fittings Skill Council 407 -408, 4th Floor, DLF City CourtMG Road, Sikanderpur, GurgaonHaryana – 122002

I/We wish to apply for FFSC Membership. We are submitting the details of our organization along with relevant supporting documents.

Bank DetailsFURNITURE & FITTINGS SKILL COUNCILICICI BANK LIMITED, PLOT NO B & B1 VANIJAYA NIKUNJ, ENKAY TOWER, UDYOG VIHAR, GURGAON-122002, HARYANA, INDIAA/C NO.: 114505000588, IFSC CODE: ICIC0001145, A/C TYPE: CURRENT ACCOUNT

I/We understand that our Membership of FFSC is subject to approval of this application by the Governing Council of FFSC.

I/We understand and accept that in the case of evidence being found of any unethical activity, FFSC reserves the right to unconditionally terminate this membership.

Name: ……………………………………………. Designation: ……………………………………………………..

Signature: ……………………………………… Date: ……………………………………………………………….

Company Seal