Membership Form

Official Membership Registration Form

Instructions: Please complete all relevant sections of this form in BLOCK LETTERS. Select your applicable membership category in Section 1. Submit the completed and signed form along with your regulatory business registrations/ID proofs to info@ebccindia.org

    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.