APPLICATION FORM

To,

The President

Crane Owners Association of India

Mumbai

Dear Sir,

We desire to become members of the CRANE OWNERS ASSOCIATION OF INDIA. Details of our company are given below: -

Select Registration for :

Select Membership Type :

Select Company Type :

Name of company (Block Letters) :

Address :

Company Email :

Company GST No :

Website :

Office Branches :

Workshop Location City/State and total measured area :

Will be represented by:

Name	Designation	Mobile no.	Landline no.	Email	Would you like to devote time with us. Yes or No? if Yes, how many hours/- month

Write brief description of your company :

LIST OF CRANES / EQUIPMENTS OWNED:

Sr. No.	Description	Range Served
1.	Mobile Telescopic All terrain / Rough Terrain /Truck Cranes	to
2.	Crawler Cranes	to
3.	Hydra / Man lifts/Reach Stackers/Tower cranes etc	to

(List of cranes and other equipment owned with capacity/details to be attached with this form)

Document No	Document	Action
	Upload Image Max up to 1MB

Username :

Password :

Place:

Payment details: At Par Cheque /DD to be made in favor “CRANE OWNERS ASSOCIATION OF INDIA”

Admission Fee : Annual Subscription : Total amount: Rs. Cheque No. Date

Branch Bank Details

Being paid towards payment of Admission fee / Annual Subscription for the year

Kindly acknowledge receipt.