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1. INDIAN ASSOCIATION FOR AIR POLLUTION CONTROL
Delhi Chapter
C/o Envirotech Instruments (P) Ltd., A-271,Okhla Industrial Area, Phase – I, New Delhi
Tel : 26813887, 26814139 Fax: 26811833 E-mail : envirotech@vsnl.com
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/-

2. To
The Honorary 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 Honorary Secretary, IAAPC, 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 …………………………………….
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