ICCI Membership Application Form

Company / Applicant

Company / Applicant Name *

Telephone *

Address *

City *

Zip Code *

State *

Country *

Company / Applicant E‑mail *

Website

Contact Person (for Companies)

First Name *

Last Name *

Designation *

Mobile Number *

E‑mail *

Company Information (for Companies)

Company Type (Srl, SpA, Pvt Ltd, LLP, LTD, etc.) *

P.IVA / VAT N. / GSTN *

No. of Employees *

Activity Description *

Sector of Activity *

Are you associated with any Indian Companies? * (For Italian Companies. If you are an Indian Company, please select "You are an Indian Company")

Wholly owned subsidiary

Pvt Ltd /LLP

Branch Office

Representative Office

Joint Venture

Technology Transfer / Commercial Partnership / Distribution Partnership

You are an Indian Company

Other

Membership Interests

Membership Subscription (One Year) *

	Type of Membership	Membership Fee
	Supporting Partner (For specific one-to-one projects and activities, logo on all material, and much more)	On the basis of discussions with the Marketing team
	Multinational Corporate Membership (Large Caps – revenues > 100M, Funds, Banks; logo on website)	1.500 €
	Large Corporate Membership (Large Caps – 50M < revenues < 100M)	1.000 €
	Medium Corporate Membership (Medium Caps – 10M < revenues < 50M)	500 €
	Small Corporate / Individuals / Institutions / Advisory firms Membership (Small Caps – revenues < 10M, Individuals, Industry Associations, Chambers of Commerce, Cultural Associations, Law & Advisory Firms, etc.)	250 €

Membership Fee Payment Details

Beneficiary: CAMERA DI COMMERCIO INDIANA PER L’ITALIA

Bank: Banco BPM – Ag. di Udine

IBAN: IT79R0503412301000000001800

Please upload the following documents (allowed file formats: jpg/png/pdf, max file size: zip):

Proof of Identity *
for Contact Person/Individuals - Identity Document
for Companies - Visura Camerale / Incorporation Certificate, in the same file as the ID

Receipt of Membership Fee Bank Transfer *

Declaration and optional consents

Section 1 – Mandatory (no opt-out) *
I/We declare that I/We have read and understood the Privacy and Personal Data Protection Policy of the Indian Chamber of Commerce in Italy, issued pursuant to Legislative Decree 196/2003 as amended and Regulation (EU) 2016/679 (GDPR).

Section 2 – Optional consents *

I/We consent

I/We do not consent

to the processing of my/our personal data for marketing, promotional and institutional communication purposes, including newsletters and invitations.

I/We consent

I/We do not consent

to the processing and publication of photographs and video recordings taken during ICCI events for institutional and promotional purposes.

Date *

Signature *

Use your mouse or finger to sign in the box.