Membership Application Form



 
Name *   Sex
         
Date of Birth  
Designation
         
Organisation      
   
 Address
   
Organisation Address
         
Residence Address
   
Telephone   Fax
         
Mobile   Email Id
         
Website      
         
  Preferred address for communication
         
    
         
  Area of Expertise/Interest
         
Power Sector   Foundry
         
Steel   Coal
         
Oil & Gas   Renewable
         
Others  
         
  Payment Details
         
Cheque/Demand
Draft No
  Date of Issue
         
Amount Rs
(in Figures)
  Amount
(in Words)
         
Issuing Bank      
Note : The receipt and acknowledgement of Membership shall be issued on receipt and encashment of cheque.
  Attach List Of Document
         
Bio-Data Photgraph
         
cheque/DD   *  Uploading File should not be more than 2MB.