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408 B, Niranjan Building, 99 Marine Drive, Mumbai - 400002. Tel:+91 22 22817796 Email:[email protected] Regd. No.: MAHARASHTRA, MUMBAI, 2472/2010 G.B.B.S.D  Application No.: _____________ Date: _____________ Organisation Information Company Name: __________________________________________________________________________ Incorporation Date: ________________________________________________________________________ PAN No.: ___________________________  Service T ax No.:  ______________________________________ Business Specialization:  _____________________________________________________________________ Phones: (1)  ___________________  (2)  __________________ (3)  __________________ Fax _______________ Member's Details Email (1) ________________________ (2) ____________________________ URL:  _____________________ ce ress: ____________________________________________________________________________  _______________________________________________________________________________ _________ Name (Principal Applicant): _________________________________________ Male [ ] Female [ ] Date of Birth:  ____________ Blood Group  ______________  Qualifications  ___________________________________________________________________ Mobile: (1) __________________ (2) __________________ Residence No.: ___________________ BB PIN: _______________ ame econ pp cant ):  __________________________________________ a e ema e ate o rt :  ___________ Blood Group  ______________  Qualifications  ___________________________________________________________________ Mobile: (1) __________________ (2) __________________ Residence No.: ___________________ BB PIN: _______________  ______________________________________________________________________________ I/We solemnly declare that (A) All the above-mentioned information is true to the best of my / our knowledge and nothing relevan t has been concealed or suppressed. (B) I / We undertake to inform the association in future about the changes that may occur in the information and particula rs furnished in the membership application f orm. (C) I / We here by apply to become a member of S MART, Mumb ai. (D) I / We ha ve read the terms an d conditions of the membership and I / We agree to abide by the rules and regulations, code of ethics, terms and conditions of SMART which may be in force and applicable from time to time. [ ] Proprietorship [ ] Partnership [ ] Private Ltd. [ ] H.U .F All the cheques shall be drawn on "South MetroCity Associatio n of Realtors" Proposed By Seconded By Membership Approved By

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