Application Form for Individual / Ordinary / Student Membership
First Name :
Middle Name :
Last Name :
Date of Birth :
--
Office Address :
Pin Code :
Department :
Company :
Phone :
Fax :
Email :
Residential Address :
Pin Code :
Preferred Mailing Address : Office Residence
PROFESSIONAL QUALIFICATIONS
Degree / Diploma
University / Institute
WORK EXPERIENCE
Organisation
Position Held
From - To
Job Responsibilities
EXPERIENCE IN VE / VM (Please be brief)
Membership Desired : Individual Associate Student
Life Membership Option : Yes No
RECOMMENDATION BY INVEST MEMBER
Name
Membership No.
Address
Proposed by
Seconded by
Enclosed Cheque / DD No. dated for Rs.
{Entrance Rs. + Subscription Rs.
+ Bank charges Rs. (for outstation cheques only)}
drawn on (Bank)
favouring Indian Value Engineering Society, Zonal Council
and payable at
I hereby apply for membership of the Indian Value Engineering Society (INVEST) and certify that all statements made in this application are correct, and, if accepted for membership, agree to be governed by the rules and regulations of the Society.