1. UDCT Alumni Association (UAA)
http://www.udctalumni.org.in
c/o Institute of Chemical Technology
(University under Section 3 of UGC Act of 1956;
Elite Status and Centre of Excellence- Govt of Maharashtra 2012)
Nathalal Parekh Marg, Matunga
Mumbai-400019, India
Telefax: +91-22-
Email:uaa@ictmumbai.edu.in
Homepage: www.ictmumbai.edu.in
MEMBERSHIP APPLICATION and SUPPORT PLEDGE
Date:
Dear …………………………..
It is our immense pleasure to invite you to join the UAA as a member and be part of a family to which you
belong and were longing to connect. Our Alma Mater the old UDCT or MUICT has now been granted a status of
a deemed University in recognition of its accomplishments and unparallel track record which would not have
been possible without the contributions of so many individuals – students, faculty, support staff, alumni, well
wishers, philanthropists, donors and industries. The State of Maharashtra accorded the Elite Status and Centre
of Excellence on 20th April 2013 in the Assembly on par with the IITs,IISc Bangalore and IISERs as a tribute to its
accomplishments. If you glance through the pages of history of technological advancement of modern India,
the ICT stands out as the best example for others to emulate. We have been trying to reach all our graduates
and associates, teachers and well wishers to join us in the process of institute building so that the ICT converts
itself as a world class innovation university. We cannot do it without you. Please join this great family of UAA,
tell us about your experiences and advise us as how to be in the forefront of knowledge creation and
propagation. Remember all leading universities in the Western World are great because their alumni care for
them, participate in their activities, advise them on every front and are their torch bearers. We need to create
a brand of our own and it is here that you are needed. Try to reach out to your classmates and acquaintances
from the ICT and create an occasion to visit the Alma Mater – let that be reunion of your class ; decennial,
silver, golden or any other milestone you deem it fit to gather. Bring your family to the ICT and show how your
destiny was changed by the portal of excellence. Not only you become a Life Member but also pledge annual
support to the institute and mentor some of the young students and faculty, if you could afford to do. If you
are in the city of Mumbai, please do visit and meet the Vice Chancellor and your teachers and friends. Our
doors are always open- indeed there are no door literally . Join us today.
With best regards,
Yours sincerely,
Alumnus of ICT /Head of President, UAA Vice Chancellor , ICT
Department

2. Name in Full Stick your photo here
(beginning with last
name or surname)
Address for
correspondence
City State PIN-
Land line Email (personal)
Mobile number Homepage (if any)
Permanent Address
Landline
City State PIN-
Occupation , title Email
and address of (organization )
organization
City State PIN-
Landline Homepage (if any)
Cell number
Degree(s) earned B.Chem.Eng./ M.Chem.Eng./M.Sc. Ph.D.(Tech.)/Ph.D.(Sc.)
from ICT B.Sc.(Tech.)/B.Tech./ (Tech.)./M. Pharm / /Occasional Research
B.Pharm. M.Sc. Student/Visiting
. Student/Well
Wisher/Visiting
Faculty
Year of
graduation/Period of
Association with ICT
Branch
Names of my Name City of residence Mobile number
classmates or and/or email (one of
contemporaries who the two)
could be contacted
by UAA .
I would like to be a 1.
Co-ordinator for my 2.
Class and be in touch 3.
with them for future 4.
programmes and get- 5.
togethers. 6.
7.
8.
9.
10.

3. Or Group i.d. We are in touch through group Group i.d.
i.d. and will allow UAA to be
added to the list.
For Current Students I am currently enrolled for the following course. I would like to be a well wisher
member now which can be converted into the Life Membership on successful
completion of my programme. I authorize the ICT to convert my security
deposit into life membership.
Current enrolment B.Chem.Eng./B.Tech. M.Chem.Eng./M.Tech./M. Ph.D.(Tech.)/Ph.D.(Sc.)/
/B.Pharm. Pharm /M.Sc. Occasional Research
. Student/ Visiting
Student/ Visiting Faculty
/Visiting Fellow
Year of
admission/Period of
Association as Visitor
Date: Signature :
Office use only
Payment received by Cash/DD/Cheque/Credit
Card
Cheque/DD number and Date
Name of Bank and Branch
Credit card (online) VISA/MASTERS/Any Date of Expiry
Other Valid Card
Name of the Bank and number
Received in UAA office : Date and
receipt number.
Fee: Rs. 2000 life membership+Rs.100/- entrance fee ; US$200 for foreign members.