PROFORMA

(Please submit this information in your letter head with covering letter)

1.        Name of the member                                                       :
          (individual/firm/Co/HUF/Others)

2.        Office Address                                                                :

3.         Telephone No.                                                               :

4.         Fax No.                                                                         :

5.         E-mail No.                                                                     :

6.         Website Address                                                           :

7.          Factory Address                                                           :

8.          Membership No. with the PDEXCIL                             :

9.          RCMC No. with the PDEXCIL                                    :

10.        Importer-Exporter Code No.                                        :

11.        Name of the Contact person & his particulars /              :
             designation             

12.        Manufacturer Exporter / Mechant Exporter                    :

13.        No of looms installed & Type / make of the looms         :

14.        Specify the items produced and/or exported                  :
            

Please also submit your Company's profile in brief and any other information you would like to submit.