STEPHENS SQUARE MERCHANTS ASSOCIATION
M.S.R Act No.17-1960, Reg. No.S.219/67-68
#10, Stephens Square, Chandni Chowk Road, Shivaji Nagar, Bangalore, Karnataka - 560051.
Membership Form
Name
*
Father's Name
*
Address
*
Residential Address
*
Phone Number
*
Email
*
Aadhaar Card Number
*
Establishment of Business Since No of Years
*
Type of Business
*
Motorparts
Two Wheeler
Tarpaulin
Members Group
*
Group A
Group B
Group C
Group D
Proposer's Name / Membership Number / Shop Name and Address
*
Photo
*
Signature
*
Submit