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Membership Form


Category I - Individual Life Member

Name

Designation

Highest Qualification

Corresponding Address

Residence Address

Phone Number

Office Residence

Fax

Office Residence
 

E-mail

E-mail (alternate)

Whether Member of IDA (Yes/No)

If Yes, Membership Number

Brief Profile


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Category II - Corporate Member

Name of the Organization

Date of Inception

Contact Person

Designation of Contact Person

Corresponding Address

Phone Number

Fax

E-mail

E-mail (alternate)

Whether Member of IDA (Yes/No)

If Yes, Membership Number

Brief Profile of Organization


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Category III - Fellow Member

Name

Designation

Highest Qualification

Corresponding Address

Residence Address

Phone Number

Office Residence

Fax

Office Residence
 

E-mail

E-mail (alternate)

InDA Membership Number

Brief Profile


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Category IV - Student Member(UG)

Name

Id Number

Department/Branch

Institute/College/University Name

Corresponding Address

Institute/College/University Address

Phone Number

E-mail

E-mail (alternate)

Whether Member of IDA (Yes/No)

If Yes, Membership Number

Brief Profile


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