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: , Web site: 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.

Name of Company/Firm :………………………………………………………………………………………………..
Address (Head office):………………………………………………………………………………………………

( Factory)…………………………………………………………………….…………………………

3. Telephone Nos:…………………………E-mail Address :……………………………

Cellular No:…………………………Fax No:……………………………

4. Nature of Industry:……………………………………………………………………… ………………………

Product Linesa) …………………………. b) …………………….. c) ……………………. d) ………………………………

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.

…………………………………………………………………………………

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 NameSignature

Proposed bySeconded 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)