Online Membership Form

1. Applicant Details

Name of Company / Firm / Organization *

Type of Organization *

Other Organization Type *

Year of Establishment *

Registered Address *

City *

District *

State *

Pincode *

Office Address [If different]

2. Contact Details of Key Person/s

Name *

Designation *

Mobile Number *

Email Id *

3. Business Profile

Nature of Business [if other]

Key Services Offered *

Operational Locations *

Total Warehouse Area *

Client List *

4. Statutory Details

PAN Number *

GST Number *

MSME No.

Other Licenses

5. Membership Category

Membership Type *

Lifetime Membership 25000/- (Onetime)

Amount

Payment Mode

Txn. No.

Txn. Date

Annual Charges 12000/-

Amount *

Payment Mode *

Txn. No. *

Txn. Date *

6. Objectives of Joining

Objectives *

Government Representation

Networking

Business Development

Compliance Support

Training

Representation

Other Objective

7. Declaration

Authorized Signatory Name *

Designation *

Place *

I / We hereby apply for membership of the Logistics & Warehousing Association (Punjab). I / We agree to abide by the rules, regulations, code of conduct, and decisions of the Association as amended from time to time. I / We confirm that the information provided above is true and correct to the best of my/our knowledge