Membership Form

I wish to become a member of The Chamber of Commerce Thrissur. I am sending herewith the joining fee of ₹5000 and an advance subscription of ₹1500 for an year. I hereby promise to abide by the constitution and by-laws of The Chamber of Commerce Thrissur.

Account Details:
The Chamber of Commerce
Indian Bank, Thrissur
Account No. 462161304
IFSC Code: IDIB000T054

chamber-qr

UPI Payment:
chamber@indianbk

Please fill in the form after making payment.

    Business Details

    Name of the Firm:

    Address of the Firm:

    Pincode:

    Phone:

    Mobile:

    WhatsApp:

    Email:

    REPRESENTING PERSON'S DETAILS

    Representing Person Name:

    Date of Birth:

    Blood Group:

    Relation with Firm:

    Representing Person’s House Address:

    Phone:

    Mobile / WhatsApp:

    Pincode:

    Personal Email:

    OTHER DETAILS

    Category of Business:

    Payment Ref. no. / Last 4 digits of UPI Transaction No.:

    Referred Member Name:

    Referred Management Committee Member Name:

    GST/ Panchayath /Corporation Trade Registration number
    (To become a member with Voting Rights)

    OR UDYAM Registration number
    (Needed only to become a Associate Member without Voting Rights)

    Upload your Photo:

    Registration certificate (GST/ Trade License/UDYAM):

    Date: