LIST OF LIFE MEMBERS
INDIAN ASSOCIATION FOR AIR POLLUTION
CONTROL
DELHI CHAPTER
as on 17.09.2005
Form of Application for Membership
Particulars of the Applicant
(Please fill in Capital Letters)
1. Name in Full:…………………………………………………………………………
2. Present Position & Name of Office: ……………………………………………….
3. Address: Office:……………………………………………………………………..
………………………………………………………….…………..……………….
: Residence:………………………………………….………………………
………………………………………………………….…………………………..
4. Tel : ………………………….Fax : ………………………Email : ……………….
5. Date of Birth: Day………… Month……………… Year…………….…….
6. Citizenship:…………………………………………………………………………..
7. Academic/Professional Qualifications:……………………………………………
8. Membership of Academic /:………………………………………………………..
Professional Organizations
9. Area of Specialization:……………………………………………………..………..
(Please be as specific as possible)
10. Reasons for desiring to become member of the Association. Please give your
reply in one paragraph. : ……………………………………………………………..
…………………………………………………………………………………….…….
11. Kind of membership applied for: Institutional / Fellow / Member Ordinary /
Student Member
12. Membership Fee Structure:
Category Admission Permanent /
Life
Annual / Renewable /
Membership per year
For Indian Residents in India
A. Institutional Rs. 100/- Rs. 4000/- Rs. 500/-
B. Member Rs. 10/- Rs. 300/- Rs. 40/-
C. Fellow Rs. 10/- Rs. 800/- Rs. 100/-
D. Student Rs. 10/- - Rs. 30/-

To meet the postage expense for dispatch of Journal, a one-time fee of
Rs. 1000/- is payable extra along with the membership fee.
To
The Chapter Secretary,
IAAPC, Delhi Chapter,
Envirotech Instruments (P) Ltd.,
A-271, Okhla Industrial Area,
Phase – I, New Delhi-20
Dear Sir,
I wish to become a member of IAAPC. Requisite details are
shown in the proforma enclosed.
I have remitted the membership entrance fee of Rs.
…………………and subscription fee of Rs. …………… by
demand draft / cheque (for local applicants only ) No.
………………….. dated ………….. for Rs……………….. drawn
in favour of IAAPC – Delhi Chapter, New Delhi.
I have read the Memorandum of Association and agree to abide
by them.
Thanking you,
Yours faithfully,
For Office Use Only :
Receipt No. …………… Date …………. Amount Rs. …………………………
Admitted on …………… Intimation Sent on …………………………………….
ECRD.IN