Sadasyata (Membership) Application Form If you are human, leave this field blank. Thank you for applying to Laghu Udyog Bharati. Each Applicant needs a separate registration form. If you have any questions about registration, please call +91-11-23625064 or +91-11-41540772 Form Submitted for * existing member for correction of information existing member for uploading information for the first time new membership applicaiton Membership Type * Annual Member Life MemberContact Information Name of Industry * Name of Member * First, Midlde & Last Name Address * City / Town / Tehsil * Postal Code * District Aagr Adilabad Agra Ahmedabad Ahmednagar Aizawl Ajmer Akola Alappuzha Aligarh Alirajpur Allahabad Almora Alwar Ambala Ambedkar Nagar Amravati Amreli Amritsar Anand Anantapur Anantnag Angul Anuppur Araria Ariyalur Arwal Ashok Nagar Auraiya Aurangabad Aurangabad – Maharashtra Region Azamgarh Badgam Bagalkot Bageshwar Bagpat Bahraich Balaghat Balangir Balasore Ballia Balrampur Banaskantha Banda Bandipore Bangalore Rural District Bangalore Urban district Banka Bankura Banswara Barabanki Baramula Baran Bardhaman Bareilly Bargarh (Baragarh) Barmer Barpeta Barwani Bastar Basti Beed Begusarai Belgaum Bellary Betul Bhadohi Bhadrak Bhagalpur Bhandara Bharatpur Bharuch Bhatinda Bhavnagar Bhilwara Bhind Bhiwani Bhojpur Bhopal Bidar Bijapur Bijnor Bikaner Bilaspur Bilaspur Birbhum Bishnupur Bokaro Bongaigaon Boudh (Bauda) Budaun Bulandshahar Buldhana Bundi Burhanpur Buxar Cachar Central Delhi Chamarajnagar Chamba Chamoli Champawat Champhai Chandauli Chandel Chandigarh Chandigarh – Punjab Unit Chandrapur Chatra Chennai Chhatarpur Chhindwara Chikballapur Chikmagalur Chitradurga Chitrakoot Chittoor Chittorgarh Churachandpur Churu Coimbatore Cooch Behar Cuddalore Cuttack Dahod Dakshin Dinajpur Dakshina Kannada Damoh Dantewada Darbhanga Darjeeling Darrang Datia Dausa Davanagere Debagarh (Deogarh) Dehradun Deoghar Deoria Dewas Dhalai Dhamtari Dhanbad Dhar Dharmapuri Dharwad Dhemaji Dhenkanal Dholpur Dhubri Dhule Dibrugarh Dimapur Dindigul Dindori Doda Dumka Dungapur Durg East Champaran East Delhi East Garo Hills East Godavari East Khasi Hills East Singhbhum Ernakulam Erode Etah Etawah Faizabad Faridabad Faridkot Farrukhabad Fatehabad Fatehgarh Sahib Fatehpur Firozabad Firozpur Gadag Gadchiroli Gajapati Gandhinagar Ganganagar Ganjam Garhwa Gautam Buddha Nagar Gaya Ghaziabad Ghazipur Giridih Goalpara Godda Golaghat Gonda Gondia Gopalganj Gorakhpur Gulbarga Gumla Guna Guntur Gurdaspur Gurgaon Gwalior Hailakandi Hamirpur Hamirpur Hanumangarh Harda Hardoi Haridwar Hassan Haveri Hazaribag Hingoli Hissar Hooghly Hoshangabad Hoshiarpur Howrah Hyderabad Idukki Imphal East Imphal West Indore Jabalpur Jagatsinghpur Jaintia Hills Jaipur Jaisalmer Jajpur Jalandhar Jalaun Jalgaon Jalna Jalore Jalpaiguri Jammu Jamnagar Jamui Janjgir-Champa Jashpur Jaunpur Jehanabad Jhabua Jhajjar Jhalawar Jhansi Jharsuguda Jhunjhunu Jind Jodhpur Jorhat Junagadh Jyotiba Phule Nagar Kaimur Kaithal Kalahandi Kanchipuram Kandhamal Kangra Kanker Kannauj Kannur Kanpur Nagar Kanpur South Kanshi Ram Nagar Kanyakumari Kapurthala Karauli Karbi Anglong Kargil Karimganj Karimnagar Karnal Karur Kasaragod Kathua Katihar Katni Kaushambi Kawardha Kendrapara Kendujhar (Keonjhar) Khagaria Khammam Khandwa (East Nimar) Khargone (West Nimar) Kheda Khordha Kinnaur Kishanganj Kodagu Koderma Kohima Kokrajhar Kolar Kolasib Kolhapur Kolkata Kollam Koppal Koraput Korba Koriya Kota Kottayam Kozhikode Krishna Kulu Kupwara Kurnool Kurukshetra Kushinagar Kutch Lahaul and Spiti Lakhimpur Lakhimpur-Kheri Lakhisarai Lalitpur Latur Lawngtlai Leh Lohardaga Lucknow Ludhiana Lunglei Madhepura Madhubani Madurai Mahamaya Nagar Maharajganj Mahasamund Mahbubnagar Mahendragarh Mahoba Mainpuri Malappuram Malda Malkangiri Mamit Mandi Mandla Mandsaur Mandya Mansa Marigaon Mathura Mau Mayurbhanj Medak Meerut Mehsana Mewat Mirzapur Moga Mokokchung Mon Moradabad Morena Mukatsar Mumbai City Mumbai suburban Munger Murshidabad Muzaffarnagar Muzaffarpur Mysore Nabarangpur Nadia Nagaon Nagapattinam Nagaur Nagpur Nainital Nalanda Nalbari Nalgonda Namakkal Nanded Nandurbar Nanhai Narmada Narsinghpur Nashik Navsari Nawada Nayagarh Neemuch Nellore New Delhi Nilgiris Nizamabad State * Andhra Pradesh Assam Pradesh Bengal Pradesh (Dakshin) Bengal Pradesh (Uttar) Bihar Pradesh Chandigarh (UT) Pradesh Chhattisgarh Pradesh Delhi Pradesh Goa Pradesh Gujarat Pradesh Haryana Pradesh Himachal Pradesh Jammu Pradesh Jharkhand Pradesh Karnataka Pradesh Kerala Pradesh Madhya Pradesh Maharashtra Pradesh Odisha Pradesh Punjab Pradesh Rajasthan Pradesh Tamil Nadu Pradesh Telangana Pradesh Uttarakhand Pradesh Uttar Pradesh Email Address * Phone (Mobile) * Phone (office) * Industry / Business Information Industry/Business Website Type of Activity * Manufacturing Service Provider Industry Category * Micro Small Medium Constitution of the Industry * Proprietorship Partnership Limited Liability Partnership One Person Company Private Limited Company Limited Company Total number of Employees * Less than 5 employees 6 to 10 employees 10 to 20 employees Above 20 employees Annual Turnover * Less < 50 Lakhs 50 Lakhs - 1 Crore 1 Crore - 5 Crores 5 Crores - 10 Crores 10 Crores - 25 Crores Above 25 Crores Is your industry registered with ESIC? * Yes No Is your industry registered with EPF? * Yes No SSI Registration Number EM-II Registration Number Udyog Aadhaar Number Industry/Business Description * Our Products * Major Raw-Materials * Industry Classification (Two Digit HSN Code) * 01 Live Animals 02 Meat and Edible Meat Offal 03 Fish and Crustaceans, Molluscs and other Aquatic Invertebrates 04 Birds’ Eggs; Natural Honey; Edible Products of Animal Origin, not elsewhere specified or included 05 Products of Animal Origin, Not Elsewhere Specified or Included 06 Live Trees and other Plants; Bulb, Roots and the Like; Cut Flowers and Ornamental Foliage 07 Vegetable seeds; Edible Vegetables and Certain Roots and Tubers 08 Edible Fruit and Nuts; Peel of Citrus Fruit or Melons 09 Coffee, Tea, Mate and Spices 10 Cereals 11 Products of the Milling Industry; Malt; Starches; Inulin Wheat Gluten 12 Oil Seeds and Oleaginous Fruits; Miscellaneous Grains, Seeds and Fruit; Industrial or Medicinal Plants; Straw and Fodder 13 Lac; Gums, Resins and Other Vegetable Saps and Extracts 14 Vegetable Plaiting Materials; Vegetable Products not Elsewhere Specified or Included 15 Animals or Vegetable Fats and Oils and their Cleavage Products; Prepared Edible Fats; Animal or Vegetable Waxes 16 Preparations of Meat, of Fish or of Crustaceans, ollusks or other Aquatic Invertebrates 17 Sugars and Sugar Confectionery 18 Cocoa and Cocoa Preparations 19 Preparations of Cereals, Flour, Starch or Milk; Pastrycooks’ Products 20 Preparations of Vegetables, Fruit, Nuts or other Parts of Plants 21 Miscellaneous Edible Preparations 22 Beverages, Spirits and Vinegar 23 Residues and Waste from the Food Industries; Prepared Animal Fodder 24 Tobacco and Manufactures; Tobacco Substitutes 25 Salt; Sulphur; Earths and Stone; Plastering Materials, Lime and Cement 26 Ores, Slag and Ash 27 Mineral Fuels, Mineral Oils and Products of their Distillation; Bituminous Substances; Mineral Waxes 28 Inorganic Chemicals; Organic or Inorganic Compounds of Precious Metals, of Rare-earth Metals, of Radioactive Elements of Isotopes 29 Organic Chemicals 30 Pharmaceutical Products 31 Fertilisers 32 Dyeing Extracts; Tannins and their Derivatives; Dyes, Pigments and other Colouring Matter; Paints and Varnishes; Putty and other Mastics; inks 33 Essential Oils and Resinoids; Perfumery Cosmetic or Toilet Preparations 34 Soap, Organic Surface- Active Agents, Washing Preparations, Lubricating Preparations, Artificial Waxes, Prepared Waxes, Polishing or Scouring Preparations, Candles and Similar Articles, Modelling Pastes, “Dental Waxes” and Dental Preparatio 35 Albuminoidal Substances; Modified Starches; Glues; Enzymes 36 Explosives; Pyrotechnic Products; Matches; Pyrophoric Alloys; Certain Combustible Preparations 37 Photographic or Cinematographic Goods 38 Miscellaneous Chemical Products 39 Plastics and Articles thereof 40 Rubber and Articles thereof 41 Raw Hides and Skins (Other than Furskins) and Leather 42 Articles of Leather; Saddlery and Harness; Travel Goods, Handbags and similar containers; Articles of Animal Gut (other than Silk-worm Gut) 43 Furskins and Artificial Fur; Manufactures thereof 44 Wood and Articles of Wood; Wood Charcoal 45 Cork and Articles of Cork 46 Manufactures of Straw, of Esparto or of other Plaiting Materials; Basketware And Wickerwork 47 Pulp of Wood or of other Fibrous Cellulosic Material; Recovered (Waste and Scrap) Paper or Paperboard 48 Paper and Paperboard; Article of Paper Pulp, of Paper or of Paperboard Currency Paper (Water-mark Bank Note Paper) 49 Printed Books, Newspapers, Pictures and other Products of the Printing Industry; Manuscripts, Typescripts and Plans 50 Silk 51 Wool, Fine or Coarse Animal Hair, Horse Hair Yarn and Woven Fabric 52 Cotton 53 Other Vegetable Textile Fibres; Paper Yarn and Woven Fabrics of Paper Yarn 54 Man-made Filaments 55 Man – made Staple Fibres 56 Wadding, Felt and Nonwovens; Special Yarns; Twine, Cordage, Ropes and Cables and Articles thereof 57 Carpets and Other Textile Floor Coverings 58 Special Woven Fabrics; Tufted Textile Fabrics; Lace; Tapestries; Trimmings; Embroidery 59 Impregnated, Coated, Covered or Laminated Textile Fabrics; Textile Articles of a Kind Suitable for Industrial Use 60 Knitted or Crocheted Fabrics 61 Articles of Apparel and Clothing Accessories, Knitted or Crocheted 62 Articles of Apparel and Clothing Accessories not Knitted or Crocheted 63 Other Made Up Textile Articles; Sets; Worn Clothing And Worn Textile Articles; Rags 64 Footwear, Gaiters and the Like; Parts of such Articles 65 Headgear and Parts Thereof 66 Umbrellas, Sun Umbrellas, Walking-sticks, Seat-sticks, Whips, Riding-crops, and Parts Thereof 67 Prepared Feathers and Down and Articles Made of Feathers or of Down; Artificial Flowers; Articles of Human Hair 68 Articles of Stone, Plaster, Cement, Asbestos, Mica or Similar Materials 69 Ceramic Products 70 Glass and Glassware 71 Natural or Cultured Pearls, Precious or Semi-precious Stones, Precious Metals, Metals Clad with Precious Metal, and Articles thereof; Imitation Jewellery; Coin 72 Iron and Steel 73 Articles of Iron or Steel 74 Copper and Articles thereof 75 Nickel and articles thereof 76 Aluminium and articles thereof 77 Reserved for Possible Future use in Harmonised System 78 Lead and Articles thereof 79 Zinc and Articles thereof 80 Tin and Articles Thereof 81 Other Base Metals; Cermets Articles thereof 82 Tools, Implements, Cutlery, Spoons and Forks, of Base Metal; Parts Thereof Base Metal 83 Miscellaneous Articles of Base Metal 84 Nuclear Reactors, Boilers, Machinery and Mechanical Appliances; Parts thereof 85 Electrical Machinery and Equipment and Parts Thereof; Sound Recorders and Reproducers, Television Image and Sound Recorders and Reproducers, and Parts and Accessories of Such Articles 86 Railway or tramway locomotives, rolling-stock and parts thereof; rail-way or tramway track fixtures and fittings and parts thereof; mechanical (including electro-mechanical) traffic ignaling equipment of all kinds 87 Vehicles other than Railway or Tramway Rolling-stock, and Parts and Accessories thereof 88 Aircraft, Spacecraft and Parts thereof 89 Ships, Boats and Floating Structures 90 Optical, photographic, cinematographic, measuring, checking, precision, medical or surgical instruments and apparatus; parts and accessories thereof 91 Clocks and Watches and parts thereof 92 Musical Instruments Parts and Accessories of such articles 93 Arms and Ammunition; Parts and Accessories thereof 94 Furniture; Bedding, Mattresses, Mattress Supports, Cushions and similar stuffed furnishings; Lamps and Lighting Fittings, not elsewhere specified or included; Illuminated signs, Illuminated name-plates and the like; Prefabricated Building 95 Toys, Games and Sports Requisites; Parts and Accessories thereof 96 Miscellaneous Manufactured Articles 97 Works of Art, Collectors’ Pieces and Antiques 98 Project Imports; Laboratory Chemicals; Passengers’ Baggage; Personal Importations by Air or Post; Ship Stores Please Note: On submission of your application, your information will be verified with the respective ekai (unit) and/or pranta (region) padhadhikaris (office bearers) before your information is displayed/updated on the website as a member. In case you have any questions please call +91-11-23625064 or +91-11-41540772 Information Sharing Consent * By checking this box you agree to all terms and condition as well as to share your information with Laghu Udyog Bharati & grant them permission to use it for organisational purposes, which include, but are not limited to, sending emails, newsletters, SMS, etc.