APPLICATION FOR MEMBERSHIP

Asian Patent Attorneys Association (Indian Group)
Suite 404, Law Arcade 18, Pusa Road, New Delhi – 110 005
E : info@amarjitassociates.com& asmonga@vsnl.com
W:www.amarjitassociates.com

Dear Sir,
I hereby apply for being enrolled as member of the Asian Patent Attorneys Association (Indian Group). My particulars are as follows:
NAME __________________________________
ADDRESS (Office) __________________________________
__________________________________
(Residence) __________________________________
__________________________________
PHONE NOS. (Office) __________________________________
(Residence) __________________________________
(Mobile) __________________________________
E.MAIL / WEBSITE __________________________________
BUSINESS/PROFESSION __________________________________(Please indicate the nature of your business activities)The requisite fee of Rs.8,000/- (Rupees Eight Thousand only) is enclosed by way of Cheque/Demand Draft No.__________ dated _________ drawn on _________________.
I agree to abide by the rules and regulations of the Asian Patent Attorneys Association (Indian Group)
.Date:                                                                                  Signature

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