Page - I
Membership
Gold :
MSME GLOBAL MART
For official use
An exclusive B2B Web Portal for MSMEs Products
Membership : New
Membership Application Form : Renewal
Enter GST Number of Applicant : Activation Date:
1. Name of Company* (Write in Block Letters)
M/s
2. Name of CEO/MD Aadhaar No :
Mr. / Ms. / Mrs.
3. Address*
STATE PIN
E-mail*
Website: www. Tel. No
Mobile No 0 Fax. No.
4. Whether MSME:(Pl.Tick) Yes No
Udyog Aadhaar No:
5. Activities: (Pl.tick) Manufacturer Reseller Service Provider
5. Category: (Pl.tick) General SC ST OBC WOMEN
6. Product(s)* (Pl. add extra sheet if required)
1. 5. 9.
2. 6. 10.
3. 7. 11.
4. 8. 12.
7. Year of Establishment: Employment: Turnover in Rs.
8. Certification (if any) ISO QS BIS Hallmark Other _
9. Are you an Exporter (Pl.tick) If Yes, Countries exported to:
Yes No
10. Give brief background and details of your company (Attach separate sheet if necessary):
11. Attach up to five images of your products
12. DD/Cheque Details: (a) Name of Bank
(b) DD./Chq./ NEFT / IMPS No.
(c) Amount: (d) Dated: (e) Date of Application:
We accept all major Credit/Debit cards / Wallets and Net Banking
13. Signature with Company’s Seal &
Date of Application
Instructions:- (Paste/staple your Photo
and business card in this
1. Gold members shall fill up the form for B2B services space)
2. Annual subscription Rs. 6,000/- + 18% GST
(Please fill the form and send it to):
The National Small Industries Corporation Ltd.
NSIC Bhawan, Okhla Industrial Estate, New Delhi-110020
Ph: 91-11-26926275, 26927502
Website: http://www.msmemart.com, E-mail:
[email protected]
