Sri Lanka Food Processors Association (SLFPA)

Application for Membership - January 2016 – December 2016

Sri Lanka Food Processors Association (SLFPA) No. 1-1/1, Anderson Road, Colombo-05 Phone: 7548770 e-mail: [email protected], Web site: www.slfpa.org, Fax: 7 548771 VAT REGISTRATION NO: 154008829-7000

I/We hereby apply to be enrolled as a member of the SLFPA and I/We agree to abide by the conditions and rules of the Association as determined by the Memorandum & Articles of Association.

1. Name of Company/Firm :……………………………………………………………………………………………….. 2. Address (Head office) :……………………………………………………………………………………………… ( Factory) …………………………………………………………………….………………………… 3. Telephone Nos :………………………… E-mail Address :…………………………… Cellular No :………………………… Fax No :……………………………

4. Nature of Industry :……………………………………………………………………… ……………………… Product Lines a) …………………………. b) …………………….. c) ……………………. d) ………………………………

5. Names of Directors/Partners : a) Chairman …………………………………………. 6. Type of Organisation (Tick off appropriate cage) b) Managing Director…………………………………………. Sole Proprietorship c) General Manager………………………………………… Private Limited Liability Company d) Marketing Director/Sales Manager………….. Public Limited Liability Company

7 Date of Incorporation: ………………

8 Registration No: …………………………………..

09 Name of Representative……………………………. Designation: ….………………………

Email address ------Mobile ------

10 Name of Alternate Representative……………………………… Designation: ….……………

Email Address ------Mobile ------

11. Name of Quality Control Manager: ….………………………………….

Email Address: ------Mobile: ------12. Name of other Chambers or Associations of which the Applicant is a Member. I. …………………………………………………………………………………

13. We confirm that our application for membership should be formally accepted by the Executive Committee to become a member of the SLFPA 14 Attached herewith copy of our Business Registration Form/Certificate of Incorporation.

………………………………… (Signature of applicant with Rubber Stamp)

------OFFICE USE:

………………………. …………………… ……………………….. …………………. Name Signature Name Signature Proposed by Seconded by

Date Tabled: …………………………….. Ex-Co Meeting No: ……………………………………………

Membership

Enrolment Fee : Rs. 5000.00 + 11% VAT

Annual Fee : Rs.5000.00 + 11% VAT

TOTAL PAYABLE WHEN JOINING – Rs.11,100.00 (Total includes VAT)

Associate Membership

Enrolment Fee : Rs.5000.00 + 11% VAT

Annual Fee : Rs.7, 500.00 + 11% VAT

TOTAL PAYABLE WHEN JOINING – Rs.13,875.00 (Total includes VAT)

Associations : No Enrolment and Annual Fees

I/ We enclose cheque for Rs. ------covering Membership subscription and Enrolment fee Cheque No. ------Bank ------

NOTE: Cheque to be crossed in favour of Sri Lanka Food Processors Association

For any clarifications pl. contact the Administrative Secretary Mr. Ivan Peiris or M/s.Sandya Fernando on Tel.Nos.0117548770

NOTE: MEMBER; Any Applicant involved in FOOD PROCESSING

ASSOCIATE MEMBER; Any Applicant Providing SUPPORT SERVICES to the Food Processing Industry (e.g., Packaging/Machinery/Services etc)