INDIAN SOCIETY FOR ADVANCEMENT OF MATERIALS AND …
|[pic] |INDIAN SOCIETY FOR ADVANCEMENT OF |
| |MATERIALS AND PROCESS ENGINEERING |
| |Aeronautical Society of India Building, Suranjan Das Road Junction, |
| |New Thippasandra, Bangalore 560 075 INDIA |
| |Website : |
APPLICATION FOR CORPORATE MEMBERSHIP
Name of the Company : …………….. ………………………………………………….
Date of Establishment :…………………………………………………………………..
Permanent Address :…………. …………………………………………………
….. ……………………………………………………………..
…………………………………………………………………….
Address for Correspondence :…………. ………………………………………………………
…………………………………………………………..
…………………………………………………………….
Telephone : Office:……………………E-mail:…………………………………….
: Mobile :…………………………….Website:……………………………
Annual Turnover / Budget :……………………………………………………………………
Nature of Activity : Manufacturing / R & D / Design / Testing /
Product Development / Others (Specify)
……………………….…………………………………………………………
Primary Materials & Processes used
(Attach sheet if necessary) ……………………………………………………………
Product Line :………………………………………………………….
Institution Category : Small / Medium / Large
(Please see information Brochure)
Whether applying for Life Membership : Yes No
Name and Designation of the : ……………………………………………………
Person representing the Company
at the meeting of ISAMPE …………………………………………………….
Name and Designation of the person :………………………………………………….
as an alternate to represent the Company
at the meetings of ISAMPE ………………………………………………….
Membership of other Professional Bodies:………… ……………………………………..………
.
Proposed by : Seconded by :
Signature…………………………………… Signature…………………………………………
Name………………………………………… Name……………………………………………..
Membership No……………………………. Membership No………………………………….
Declaration : The undersigned, on behalf of the company certifies that all the statements made herein are true and agrees to be governed by the Rules and Regulations of the Society.
Date :
Place : Signature of the Head of
the Company with the office seal
Cheque / D D No :………………………………… Amount:: Rs……………………………....
Date :……………………………….
Drawn on Bank :……………………………….
• Corporate Membership Subscription
| |2- Years |Life Membership |
| |Membership |(Valid for 30 Years) |
|Large Institutions |Rs. 30,000.00 |Rs. 3,00,000.00 |
|Medium Institutions |Rs. 20,000.00 |Rs. 2,00,000.00 |
|Small Institutions | Rs. 10,000.00 | Rs. 1000,000.00 |
(Membership Year : 1, April to 31, March)
• Cheque / DD should be made in favour of “ISAMPE, Bangalore” payable at Bangalore
• Please mail duly completed application form along with the remittance to the Secretary at ISAMPE office.
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