Life Membership Annual Membership Student Membership Long Term Corporate Membership Corporate Membership

APPLICATION FOR

Name of Applicant
(in block letters)

Date of Birth

Qualifications

Subject of Interest: (mark not more than two from below)

Engineering Ceramics (EC) Electronic Ceramics (ELC) Glass (G) Refractories (R) Whiteware and Heavy Clay Products (P) Coatings and Colours (CC) Composites (C) Raw Materials (RM) Vitreous and Porcelain Enamels (E) Machinery and Equipment (M) Any other (please specify)

Employed at

Designation

[A] Business Address

Dist

State

Phone

Mobile

E-mail

E-mail 2

[B] Residential Address

PIN:

Phone

Mobile

I desire communications to be addressed to me at Business Residential address.

Date

We, the under mentioned members of good standing of the Society, from our knowledge about the candidate, recommend him/her for admission.

Name of the Proposer

Membership no

Mobile no

Name of the Proposer

Membership no

Mobile no

On admission, persons resident in a Chapter area automatically also become members of that Chapter of the Society

Subscription Rs. 9000.00 and Admission Fee : Rs.1000.00

APPLICATION FOR

Name of Applicant
(in block letters)

Date of Birth

Qualifications

Subject of Interest: (mark not more than two from below)

Employed at

Designation

[A] Business Address

Dist

State

Phone

Mobile

E-mail

E-mail 2

[B] Residential Address

PIN:

Phone

Mobile

I desire communications to be addressed to me at Business Residential address.

Date

We, the under mentioned members of good standing of the Society, from our knowledge about the candidate, recommend him/her for admission.

Name of the Proposer

Membership no

Mobile no

Name of the Proposer

Membership no

Mobile no

On admission, persons resident in a Chapter area automatically also become members of that Chapter of the Society

Subscription Rs. 900.00 and Admission Fee : Rs.500.00

APPLICATION FOR

Life Membership
(Student Membership)
(PHD Student Membership)

Name of Applicant
(in block letters)

Date of Birth

Name & Address of the Educational Institution

Course being studied

The year of study

Postal Address

Dist

State

Mobile

Mobile 2

Email 2

Date

We, the under mentioned members of good standing of the Society, from our knowledge about the candidate, recommend him/her for admission.

Name of the Proposer

Email Id

Phone no

On admission, students resident in a Chapter area automatically also become members of that Chapter of the Society

For B. Tech Students (Tenure 4 years) : Subscription : Rs.1000.00 and Admission Fee : Rs.100.00 (for 4 years)

For M. Tech Students (Tenure 2 years) : Subscription : Rs.1000.00 and Admission Fee: Rs.100.00 (for 2 years)

Name of Applicant
(in block letters)

Date of Birth

Subject of PhD

*Year of Registration

Name of the Supervisor

Name & Address of the Educational Institution

Department

Postal Address

Dist

State

Institute Mobile No

Institute Email Id

Personal Mobile

Personal Email

Name of the Proposer

Email Id

Phone no

Annual Subscription : Rs. 700.00/-* and Admission Fee : Rs. 100.00/-

APPLICATION FOR

Name of the Company
(in block letters)

Address

Dist

State

Phone

FAX

E-mail

Website

Name of the two representatives of the Company

Name

Designation

Mobile

Name

Designation

Mobile

Subjects of Interest : (mark not more than two from below)

Areas of activity, e.g. manufacturing/consultancy/agency/others (please specify; if manufacturers, kindly indicate range of products) :

Date

We, the under mentioned members of good standing of the Society, from our knowledge about the Company, recommend them for admission.

Name of the Proposer

Membership no

Mobile no

Name of the Proposer

Membership no

Mobile no

On admission, companies located in a Chapter area also become members of that Chapter of the Society

For Medium Scale (MS)/ Large Scale (LS) Enterprise: Subscription (valid for 25 yrs): Rs. 55,000.00 and Admission Fee: Rs. 2500.00

For Small Scale Enterprise# : Subscription (valid for 25 yrs): Rs.30,000.00 and Admission Fee: Rs.1000.00

For Micro Scale Enterprise: Subscription (valid for 25 yrs): Rs.20,000.00 and Admission Fee: Rs. 500.00

# a certificate of registration with SSI to be submitted

APPLICATION FOR

Name of the Company
(in block letters)

Address

Phone

FAX

E-mail

Website

Name of the two representatives of the Company

Name

Designation

Mobile

Name

Designation

Mobile

Subjects of Interest : (mark not more than two from below)

Areas of activity, e.g. manufacturing/consultancy/agency/others (please specify; if manufacturers, kindly indicate range of products) :

Date

We, the under mentioned members of good standing of the Society, from our knowledge about the Company, recommend them for admission.

Name of the Proposer

Membership no

Mobile no

Name of the Proposer

Membership no

Mobile no

On admission, companies located in a Chapter area also become members of that Chapter of the Society

* For Medium Scale/ Large Scale (LS) Enterprise: Annual Subscription: Rs.5,500.00 and Admission Fee: Rs.2,500.00

* For Small Scale Enterprise# : Annual Subscription: Rs.3,000.00 and Admission Fee: Rs.1,000.00

* For Micro Scale Enterprise: Annual Subscription: Rs.2,000.00 and Admission Fee: Rs.500.00

# a certificate of registration with SSI to be submitted