Ref. No.______Date ______

To,

M/s ______

Dear Sir,

Subject:Application for Membership Of

Mumbai And Nhava-Sheva Ship-Agents Association(MANSA)

1.On your Company letter head, type out the contents with instructions as given inANNEXURE I.

2.Fill in the Application Form as given in ANNEXURE IIand duly attach it with the application letter to MANSA(ANNEXURE I).

3. The MANSA Fees & Annual Subscription are mentioned inANNEXURE III and your Cheque / Draft should be issued for A/c Payee: Mumbai and Nhava-Sheva Ship-Agents Association for the requisite amount of fees shown.

4.Please attach a copy of the Registration Certificate andMemorandum / Articles of Association of your Company.

It is essential to comply with the above requirements before considering your application for membership.

With best regards,

for Mumbai And Nhava-Sheva Ship-Agents Association (MANSA)

C. S. MURTY

SecretaryGeneral

ANNEXURE - I

Ref. No.______Date ______

To,

The Secretary General

Mumbai And Nhava-Sheva Ship-Agents Association (MANSA)

901, Arcadia, 9th Floor

N.C.P.A. Marg

195, Nariman Point

MUMBAI - 400 021

Dear Sir,

Subject: APPLICATION FOR MEMBERSHIP to MANSA

We hereby apply for the Membership of the Mumbai and Nhava-Sheva Ship-Agents Associationand declare thatour statements are correct in every respect as given in the Application Form. We havealso read the Memorandum of Association and Rules & Regulations of MANSA to be observed by the Membersand we agree to abide by the same. As required the enclosures required for screening our Application are sent herewith for your records.

Yours faithfully,

for(Name of Company)

(Name of Partner, Director, General Manager or Chief Executive Officer)

(To be signed by a Partner, Director, General Manager or Chief Executive Officer duly authorized by Power of Attorney. Please give name of the Signatory below his signature.)

Encl.:Application Form, Crossed Cheque for the Annual Subscription & Entrance Fee, Registration Certificate and Memorandum / Articles of Association

ANNEXURE - II

APPLICATION FORM: FOR MANSA MEMBERSHIP

1.FULL NAME, DESIGNATION AND ADDRESS OF PERSON representing APPLICANT’sCompany in MANSA (With Mob. No. Tel. No. Fax No. and E-mail address):

______
______

______

______

2.NAME AND ADDRESS OF ALL PARTNERS, DIRECTORS, MANAGERS AND STATE THE NAME OF CHIEF EXECUTIVE

======

NAME AND ADDRESS STATE OTHER INTERESTS OF THE

DESIGNATIONPARTNERS, DIRECTORS

MANAGER etc. if any

======

(i)

(ii)

(iii)

(iv)

3.STATE WHETHER APPLICANTREPRESENTS INTERESTS OF REGULAR LINER VESSELS OR TRAMPERS.

______

______

4.NAME AND ADDRESS OF THE PRINCIPALS APPLICANT IS REPRESENTING IN MUMBAI (STATESEPARATELY NUMBERS AND NAMES OF SHIPS OWNED BY PRINCIPALS AND THEIR TRADING INTERESTS)

______

______

______

______

5.NAME AND ADDRESS OF BANKERS:

______

______

______

6.YEAR OF ESTABLISHMENT & OBJECTIVE OF BUSINESS (IN BRIEF):

______

______

7.PROPOSED BY: ______

(Name of a MemberCompany______

and Signature of representatives) ______

8.SECONDED BY: ______

(Name of the Member Company______

and Signature of representatives) ______

Signature of the Applicant with

Company‘s Seal (Rubber Stamp)

ANNEXURE - III

Membership Subscription
Full Yearly Fees
Entrance Fees : 20,000
Annual Subscription (F.Y. April to March) 40,000
------
60,000
( + CGST 9%) 5,400
( + SGST 9%) 5,400
------
Total: 70,800
------
------
Quarterly Fees
i) Entrance Fee : 20,000
ii) Annual Subscription : 10,000
======
30,000
( + CGST 9%) 2,700
( + SGST 9%) 2,700
======
TOTAL : 35,400
======
Associate MembershipSubscription
Full Yearly Fees
Entrance Fees : 10,000
Annual Subscription (F.Y. April to March) 20,000
------
30,000
( + CGST 9%) 2,700
( + SGST 9%) 2,700
------
Total: 35,400
------
------
Quarterly Fees
i) Entrance Fee : 10,000
ii) Annual Subscription : 5,000
======
15,000
( + CGST 9%) 1,350
( + SGST 9%) 1.350
======
TOTAL : 17,700
======