03 EBCC MEMBERSHIP
MEMBERSHIP APPLICATION
03
JOIN THE NETWORK

Become a Member.

APPLICATION FORM

Membership Application

EBCC / 03

    Membership Category Selection

    Select

    Category

    Criteria / Description

    Membership Type

    Individual

    Consultants, freelancers, professionals, or sole proprietors operating independently.

    Annual

    Startup

    Early-stage technology or business ventures operating for less than 3 years.

    Annual

    SME / MSME

    Micro, Small & Medium Enterprises aligned with statutory revenue/employee benchmarks.

    ₹10,000/Annual

    Corporate Business

    Established corporate entities, large enterprises, or multinational organizations.

    ₹25,000/Annual

    SECTION 2: APPLICANT & BUSINESS PROFILE

    Official Registered Name *

    Name of Individual or Legal Corporate Entity

    Trade Name / DBAs (if any)

    Registration / Udyam Number *

    Statutory ID (Company Reg. No., MSME/Udyam ID)

    Date of Incorporation / Start *

    Industry Vertical / Sector *

    e.g. IT, Manufacturing, Retail, Healthcare, Consulting

    Core Products / Services *

    Number of Full-Time Employees *

    1 (Individual)2-1011-5051-250250+

    Annual Turnover Bracket *

    Micro (<₹2 Cr)Small (<₹20 Cr)Medium (<₹100 Cr)Large

    Website URL

    www.yourcompany.com

    Corporate Headquarters Address *

    Complete street address, City, State, Postal Code

    SECTION 3: PRIMARY REPRESENTATIVE CONTACT DETAILS

    Primary Contact Full Name:

    Designation / Job Title:

    Direct Mobile Number:

    Official Email Address:

    Alternative Contact Person:

    Alternative Contact Email/Tel:

    SECTION 4: CHAMBER MOTIVATION & ENGAGEMENT EXPECTATIONS


    What are your primary objectives for joining the Chamber?
    (Select all that apply)

    SECTION 5: DECLARATION & SIGNATURE


    I/We hereby certify that the information provided in this registration form is true, accurate, and correct to the best of my/our knowledge. I/We agree to abide by the Constitution, Code of Conduct, and Bylaws of the Emerging Businesses Chamber of Commerce. I/We acknowledge that membership is subject to verification of documents and approval by the Board.



    EMERGING BUSINESS CHAMBER OF COMMERCE CONNECT · COLLABORATE · GROW