GAPS Basic Membership Registration

Name of the Enterprise: *

GST Number:

Name of the Entrepreneur: *

Full Address: *

State/Union Territory: *

Mobile No.: *

Alternate Mobile No.:

E-mail: *

Website URL:

http://www.

Briefly Describe Your Business: *

Which industry do you operate in? *

CATEGORY (You can select multiple):

Business Type: *

Manufacturing Trading Services Retail

Do you export outside India? *

What is your annual turnover? *

What is your team size (number of employees)? *

How many factories or production facilities does your business have? *

How soon are you planning an IPO? *

Have you already made the payment for subscription? *

Description of Services	HSN/SAC	Annual Fee	18% GST	Total Fee
GAPS Basic by Rajiv K Chawla (Community) Packages	998397	₹24,000	₹4,320	₹28,320

₹99,998/- ₹59,998/- Save ₹40,000!

Account Holder: Rajiv Chawla

Bank: South Indian Bank

Branch: A-7 NH-1 Nehru Ground NIT Faridabad-121001

Account No.: 1051053000000216

IFSC CODE: SIBL0001051

I have thoroughly read and understood the benefits of GAPS Basic membership from www.rajivkchawla.com/gaps-basic.html *

I agree to the subscription terms and arbitration clause stated above *

I agree to receive communications via Email and SMS

The information provided above is true to my knowledge. I agree to inform you in writing of any changes to the particulars stated above. *

APPLICATION FORM FOR