APPLICATION FORM FOR ORDINARY MEMBERSHIP
(ABLE DATABASE OF INDIAN BIOTECH INDUSTRY)

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MEMBERSHIP FEES
Ordinary Membership is open to any company that has a registered office in India and is engaged in or has an interest in the business of Biotechnology.

Start-Up Companies
(Companies up to 2 years since incorporation)
Joining Fee: Rs. 2,500
Annual Subscription: Rs 2,500/year

Companies With A Turnover Of Less Than Rs. 5 crores
Joining Fee: Rs. 5,000
Annual Subscription: Rs. 5,000/year

Companies With Turnover of Rs 5-50 crores
Joining Fee: Rs. 7,500
Annual Subscription: Rs 7,500/year

Companies With A Turnover Of Over Rs 50 crores
Joining Fee: Rs 15,000
Annual Subscription: Rs 15,000/year
Membership is effective upon receipt of a completed application form and is active for twelve months thereafter.
Kindly note that the Joining Fee and Annual Membership fee is required to to be paid vide Cheque made in
favour of ASSOCIATION OF BIOTECHNOLOGY LED ENTERPRISES.


APPLICATION FORM FOR ORDINARY MEMBERSHIP
(ABLE DATABASE OF INDIAN BIOTECH INDUSTRY)
1. NAME OF COMPANY/ ORGANIZATION  
2. POSTAL ADDRESS  
    Street
  
    City  
    PIN  
    State  
 
3. PHONE  
4. FAX  
5. E MAIL  
6. WEBSITE www.
     
7. KEY PERSONNEL  
  1. Head of Organization  
    Title  
  2. Head of R&D  
    Title  
  3. Head of Manufacturing  
    Title  
  4. Head of Quality  
    Title  
  5. Head of Marketing  
    Title  
  6. Head of HR  
    Title  
  7. Head of Finance  
    Title  
  8. Contact Person  
    Title  
       
8. YEAR OF INCORPORATION:  
     
9. PROMOTORS: (Including VCs/FI)
  1.  
  2.  
  3.  
  4.  
  5.  
     
10. LISTING STATUS: (Yes or No)  
   

11. FUNDING  
  1. Bank/s  
  2. VC/s  
  3. Financial Institution/s  
  4. Grant/s  
       
12. SUBSIDIARIES & JVs  
  1. Name & Address of Subsidiary/s  
     
     
  2. Name & Address of JV Company/s  
     
     
  3. Name & Address of JV Partner/s  
     
     
       
13. BOARD DETAILS
 1. BOARD OF DIRECTORS:		  
  a. Chairman  
  b. Managing Director  
  c. Directors  
     
     
  2. SCIENTIFIC ADVISORY BOARD
  a. Chairman  
  b. Board Members  
       
       
14. TOTAL REVENUES  
15. EXPORT REVENUES  
16. COUNTRIES OF EXPORT  
   
17. PRODUCT / SERVICES (Please Tick)
  1. Agri. Biotech 10. Contract Research
  2. Aquaculture/Marine Biotechnology 11. Consultancy
  3. Biopesticides 12. Diagnostics
  4. Biofertilisers 13. Enzymes
  5. Bioremediation/Biofuels 14. Environmental Biotechnology
  6. Bioinformatics (Genomics & Proteomics) 15. Human Health
  7. Bioinstrumentation/Medical Devices 16. Vaccines
  8. Bioengineering 17. Veterinary
  9. Clinical Research/Development 18. Others (Please specify)
 
     

18. HUMAN RESOURCE  
  1. Total No. of Employees    
  2. Total No. Scientists    
    1.  No. of B.Sc.      
    2.  No. of M.Sc.      
    3.  No. of Ph.D.      
  6. Others      
     
19. ACCREDITATIONS/APPROVALS
         Please Tick
  1. ISO 9000                 
  2. ISO 14000                 
  3. DCGI                 
  4. WHO                 
  5. GEAC                 
  6. NABL                 
  7. Others (Please Specify)  
       
20 INVESTMENT DETAILS  
  1. Investment Made To Date  
  2. Investment Proposed for next 2 years  
 
21. IPR  DETAILS  
  1. No. of Patents filed     2. No. of Patents granted
  a. INDIAN     a. INDIAN  
  b. PCT     b. PCT  
  c. INTERNATIONAL
     c. INTERNATIONAL
  
    (Please Specify countries)       (Please Specify countries)  
       
 
22. Would you like your company's website to be linked from ABLE's website?
    YES NO
    If 'Yes', please confirm the linkage and the referral e-mail.
    Website Address www.
    E-mail  
       
 

Signature		   Date  
       

Please return completed form to the address below along with the joining and subscription fees paid by cheque/DD made in favour of ASSOCIATION OF BIOTECHNOLOGY LED ENTERPRISES.

ABLE Secretariat
No. 13, 2nd Floor, 4th C Block, 10th Main Road, Koramangala, Bangalore - 560034, India.
Telephone:
E-mail:
Website:

ableindia.org