:::::: APPLICATION FOR MEMBERSHIP ::::::

The Surgical Instruments & Manufacturers Association of Pakistan

APPLICATION FOR MEMBERSHIP

     The Secretary,
     The Surgical Instruments Manufacturers Association of Pakistan.
     Sialkot

               I / We do hereby apply the membership of the Surgical Instruments Manufacturers
Association of Pakistan and undertake to abide by the Memorandum and Articles of Association of
the Association on the being enrolled as member.

Your faithfully,

	Signature:-------------------------------------------------------------------
Dated:------------------------	Stamp of the firm /company:-------------------------------------------

Proposed By:	--------------------------------------------------------------------------------
(Name of the Firm:	--------------------------------------------------------------------------------
Signature:	--------------------------------------------------------------------------------
Seconded by:	--------------------------------------------------------------------------------
Name of the firm:	--------------------------------------------------------------------------------
Signature:	--------------------------------------------------------------------------------

FOR OFFICE USE ONLY

Received Rs. --------------------------	By Cash/Cheque no.------------
Vide Receipt No.-----------------------	Date:------------------------------
on account of annual Subscription for the year
Secretary / Accountant

Admitted by the Executive Committee on ---------------------------

Hony. General Secretary