<p> Application for Membership - January 2016 – December 2016 </p><p>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</p><p>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.</p><p>1. Name of Company/Firm :……………………………………………………………………………………………….. 2. Address (Head office) :……………………………………………………………………………………………… ( Factory) …………………………………………………………………….………………………… 3. Telephone Nos :………………………… E-mail Address :…………………………… Cellular No :………………………… Fax No :……………………………</p><p>4. Nature of Industry :……………………………………………………………………… ……………………… Product Lines a) …………………………. b) …………………….. c) ……………………. d) ………………………………</p><p>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</p><p>7 Date of Incorporation: ………………</p><p>8 Registration No: …………………………………..</p><p>09 Name of Representative……………………………. Designation: ….………………………</p><p>Email address ------Mobile ------</p><p>10 Name of Alternate Representative……………………………… Designation: ….……………</p><p>Email Address ------Mobile ------</p><p>11. Name of Quality Control Manager: ….………………………………….</p><p>Email Address: ------Mobile: ------12. Name of other Chambers or Associations of which the Applicant is a Member. I. …………………………………………………………………………………</p><p>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.</p><p>………………………………… (Signature of applicant with Rubber Stamp)</p><p>------OFFICE USE:</p><p>………………………. …………………… ……………………….. …………………. Name Signature Name Signature Proposed by Seconded by</p><p>Date Tabled: …………………………….. Ex-Co Meeting No: ……………………………………………</p><p>Membership</p><p>Enrolment Fee : Rs. 5000.00 + 11% VAT</p><p>Annual Fee : Rs.5000.00 + 11% VAT</p><p>TOTAL PAYABLE WHEN JOINING – Rs.11,100.00 (Total includes VAT)</p><p>Associate Membership</p><p>Enrolment Fee : Rs.5000.00 + 11% VAT</p><p>Annual Fee : Rs.7, 500.00 + 11% VAT</p><p>TOTAL PAYABLE WHEN JOINING – Rs.13,875.00 (Total includes VAT)</p><p>Associations : No Enrolment and Annual Fees </p><p>I/ We enclose cheque for Rs. ------covering Membership subscription and Enrolment fee Cheque No. ------Bank ------</p><p>NOTE: Cheque to be crossed in favour of Sri Lanka Food Processors Association</p><p>For any clarifications pl. contact the Administrative Secretary Mr. Ivan Peiris or M/s.Sandya Fernando on Tel.Nos.0117548770 </p><p>NOTE: MEMBER; Any Applicant involved in FOOD PROCESSING</p><p>ASSOCIATE MEMBER; Any Applicant Providing SUPPORT SERVICES to the Food Processing Industry (e.g., Packaging/Machinery/Services etc)</p>