Official State Membership Application

LAGHU UDYOG BHARATI - TAMILNADU

Plot No. 63-A, SIDCO Industrial Estate, Ambattur, Chennai - 600098

All 24 Statutory Form Fields Instant Digital Tracking Number Printable Physical-Replica Receipt

Applicant & Industry Information

Primary Details

1. Name of the Industry / Enterprise *

2. Name of the Member / Authorized Person *

3. Gender *

4. Industry Address (Factory / Regd Office) *

5. District (Tamil Nadu) *

Pincode (6 Digits) *

GSTIN Number (Optional if not registered)

Membership Category & Static Payment

10-Year Valid Membership

6. Select Membership Type *

General Member

₹6,500

Standard membership valid for 10 years for all MSME industrial enterprises.

Women Entrepreneur

₹4,000

Special concessional membership fee for women-owned industrial enterprises (10 Years).

₹

Static Bank NEFT / RTGS / UPI Deposit

Transfer total fee amount (₹6,500) using the credentials below

Total Payable:

₹6,500

Bank Name & Branch Canara Bank, Ambattur Branch, Chennai - 600053

Account Number 0908201005559

IFSC Code CNRB0000936

Official UPI VPA 20359733005559@cnrb

Scan & Pay with Any UPI App (GPay, PhonePe, Paytm, BHIM)

✓ Copied to clipboard!

7. Payment Transaction UTR / Ref No. *

12-digit UTR from banking app or bank receipt

8. Upload Payment Proof Screenshot / PDF *

Contact & Statutory Registration

Official Communication

9. Mobile Phone Number *

+91

Used for OTP, SMS updates, and status tracking lookup

10. Official Email ID *

11. Official Website URL (Optional)

12. Enterprise / Applicant PAN No. *

Business Categorization

Industry Profile

13. Industry Classification *

14. Activity Type *

15. Brief Description of Industrial Activity / Products *

16a. Business Place *

Own Premises Rental / Lease

16b. Legal Constitution *

Operational & Statutory Details

Compliance

17. Total Employees Count *

18. Annual Turnover *

19. ESI / EPF Registration No. (Optional)

20. Udyam Registration Number *

21. Major Raw Materials Used *

22. Primary HSN / SAC Code *

23. Date of Business Commencement *

24. Introduced / Recommended By (LUB Executive / Member Name)

Document Uploads & Signature

* Required

Applicant / Enterprise Visiting Card *

Upload clear photo or PDF of your business visiting card.

Applicant Authorized Signature *

Upload signed paper scan or photo (PNG/JPG).

Statutory Declaration: I hereby apply for membership of LAGHU UDYOG BHARATI - TAMILNADU. I solemnly declare that the information provided above is true and accurate to the best of my knowledge. I agree to abide by the rules, regulations, and constitution of Laghu Udyog Bharati and pay the requisite subscription fees.

Once submitted, you will receive an official tracking number (MF/YY/MM/XXXX).

Application Preview & Confirmation

LAGHU UDYOG BHARATI - TAMILNADU (VELLORE)

Please review all submitted details below carefully. If any changes are needed, click "Edit Application". Otherwise, click "Confirm & Final Submit".

1 Applicant & Industry Information

1. Name of Industry / Enterprise

2. Authorized Member

3. Gender

4. District & Pincode

5. GSTIN No.

Registered Factory / Office Address

2 Membership Category & Payment Details

6. Membership Category

Tenure & Fee Amount

Payment Made To LAGHU UDYOG BHARATI

Bank Account Canara Bank, Ambattur Branch | A/C: 0908201005559

Payment UTR / Ref No.

Payment Date

3 Contact & Statutory Registration

9. Mobile Number

10. Email Address

11. Website

12. PAN Number

4 Business Profile & Operations

13. Industry Type

14. Activity Type

15. Business Place

16. Constitution

Activity Description (In Brief)

17. Total Employees

18. Annual Turnover

19. ESI / EPF No.

20. Udyam Reg No.

21. Major Raw Materials Used

22. HSN Code

23. Business Started On

24. Introduced / Recommended By

5 Attached Documents & Signature

Visiting Card

Authorized Signature