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"Great vision without great people is irrelevant." Happy Recruiter’s Day- 9th March 2016

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PRIMARY MEMBERSHIP (Recruiter) APPLICATION FORM

(With voting rights)

Type of Membership – Primary (Please tick any one based on the no. of recruiters you have):

Annual Fee of Rs. 5,900/- (i:e Rs. 5,000/- + 18% GST)

Annual Fee of Rs. 11,800/- (i:e Rs. 10,000/- + 18% GST)

Annual Fee of Rs. 23,600/- (i:e Rs. 20,000/- + 18% GST)

Annual Fee of Rs. 29,500/- (i:e Rs. 25,000/- + 18% GST)

Plus one time non-refundable Joining / Registration Fee of Rs. 1,180/- (i:e Rs. 1,000/- + 18% GST), applicable only if you are joining ERA for the first time.

Membership will be valid for a period of 1 (one) year from the date of enrollment.

Chapter of preference (Please tick any one based on location of your Head Office):

1. Name of the Company:

Company Name :

2. Address of Head Office:

3. City:

4. Pincode:

5. State:

6: Nature of entity (Please tick one):

7. No. of Recruiters

8. PAN Number

9. Service Tax Number

10. Date of Incorporation

11. Mobile Number

12. Email / Username for future login

13. Nature of Business

Focused on (Tick one) :

14. Annual Turn Over (Last Year) :

15. Details of the Company’s MD / CEO:

16. Details of other Directors / Partners:

Directors / Partners 1:
Directors / Partners 2:
Directors / Partners 3:

17. Details of Company’s Branches:

Branches: 1:
Branches: 2:
Branches: 3:

18. Any legal issues or police cases against the promoters and/or the organisation?

19. How did you come to know about ERA: (Please tick)

20. If referred by Existing ERA Member, Please specify:

Name of the Company/Person:
Chapter Name:

21. In what manner you would prefer to be associated with ERA

22. Member of other Associations / Professional Bodies:

23. Please provide 2 references, who are working professionals : (Optional)

References 1:
References 2: