APPLY FOR MEMBERSHIP Membership Categories Membership Application FormChoose categories *Choose categoriesIndividualInstitutionalCorporateStartup-Young EntrepreneurHonorarySchoolApplicant Details *AnnualLifeName of the Company *Select *Please select an optionMr.Ms.Dr.First Name *Middle NameLast Name *Contact person profile *Choose FileNo file chosenDelete uploaded fileMention Your ID Proof *Mention Your ID ProofAadhaar CardVoter ID CardPAN CardDriving LicenceUpload ID Proof *Choose FileNo file chosenDelete uploaded fileContact person profile *Choose FileNo file chosenDelete uploaded fileDesignation *CIN no. *Address *City *State *PIN Code *Contact Information:Mobile No. *Email ID *Website *Business / Professional DetailsSector *SectorRenewable EnergyWaste ManagementAgricultureNature of Business / Profession *Brief Description of Activities *Years of Experience *Interest in OCTA ActivitiesAreas of Interest *Expected Support from OCTA *Fees Rs. *UPI ID *Up load Screen Short -Attach (photo of Payment Screen Short) *Choose FileNo file chosenDelete uploaded fileDeclaration I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of the Odisha Cleantech Association.Date *Place *Signature(Digital Signature Photo) *Choose FileNo file chosenDelete uploaded fileSubmit
