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Life Membership fee : Rs.3000/- Phone : 26963431 , 26513542 Mode of Payment : DD only, in favour of I.S.T.E. payable at New Delhi Fax E-mail : 011-26852421 : [email protected] Website INDIAN SOCIETY FOR TECHNICAL EDUCATION Shaheed Jeet Singh Marg, New Delhi-110016 (Registered Under Societies Registration Act XII of 1860) APPLICATION FOR LIFE MEMBERSHIP : www.isteonline.in Paste your Colour Unattested photograph here Note: Status 1. 2. 3. 4. Please type or write legibly in CAPITAL LETTERS IN English only Please get the application recommended by a member of ISTE/ Head of institution. Leave one column BLANK between words/initials. WRITE YOUR NAME THE WAY YOU WANT IT ON THE CERTIFICATE. Use initials and limit name to only 20 characters. PLEASE WRITE LEGIBLY OR TYPE Name Date of Birth Area of Specialisation Designation Institute City/State Qualifications Pin Code Sex Mailing Address (if different from above) Pin Code E-mail id Membership Category Landline Tel. Details of Remittance : Mobile No. STD Code Amount:________________________DD Number :_______________________ Date :__________________________Bank & Branch :____________________ CERTIFICATE I Wish to join the ISTE as an Life Member. I hereby agree to abide by the rules and regulations of ISTE regarding membership. I certify that I am Eligible for membership as per the eligibility given overleaf, Signature of Applicant Place Date Signature of Recommending officer. Name : Designation: Date : FOR OFFICE USE ONLY

ISTE Form Life Member

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Page 1: ISTE Form Life Member

Life Membership fee : Rs.3000/- Phone : 26963431 , 26513542Mode of Payment : DD only, in favour of I.S.T.E.

payable at New DelhiFaxE-mail

: 011-26852421: [email protected]

Website

INDIAN SOCIETY FOR TECHNICAL EDUCATIONShaheed Jeet Singh Marg, New Delhi-110016

(Registered Under Societies Registration Act XII of 1860)

APPLICATION FOR LIFE MEMBERSHIP

: www.isteonline.in

Paste yourColour Unattestedphotograph here

Note:

Status

1.2.3.4.

Please type or write legibly in CAPITAL LETTERS IN English onlyPlease get the application recommended by a member of ISTE/ Head of institution.Leave one column BLANK between words/initials.WRITE YOUR NAME THE WAY YOU WANT IT ON THE CERTIFICATE. Use initialsand limit name to only 20 characters.

PLEASE WRITE LEGIBLY OR TYPEName

Date of Birth

Area of Specialisation

Designation

Institute

City/State

Qualifications

Pin Code

Sex

Mailing Address

(if different from above)

Pin Code

E-mail id

Membership Category

Landline Tel.Details of Remittance :

Mobile No.

STD CodeAmount:________________________DD Number :_______________________

Date :__________________________Bank & Branch :____________________

CERTIFICATEI Wish to join the ISTE as an Life Member. I hereby agree to abide by the rules and regulations of ISTE regardingmembership. I certify that I am Eligible for membership as per the eligibility given overleaf,

Signature of ApplicantPlaceDate

Signature of Recommending officer.Name :Designation:Date :

FOR OFFICE USE ONLY

Membership fee received on______________ Membership Number L M

Page 2: ISTE Form Life Member

INSTRUCTIONS FOR FILLING UP APPLICATION FORMFor status write

Date of Birth

Write HighestQualification onlySex

Specialisation

Designation

Address(Institute, State, Pin)(Example)P.S.

:

:

:

:

:

:

::

:

MR, MRS, MISS, SHRI, SMT, DR, PROF, etc

(18 September, 1963) 18-09-63

PH.D, M.TECH, M.SC, BE, B.TECH, B.SC, B.A, DIPLO. etc

M or F

CIVIL ENGINEERING, ELECTRICAL ENGINEERING, PHYSICS,MATHEMATICS, etc.

PRINCIPAL, DIRECTOR, PROFESSOR OF M.TECH, ENGG, PROFAND HOD OF COMPUTER SCIENCE

MALAND COLLEGE OF ENGINEERING,HASSAN, KARNATAKA-573201

IF THERE ARE MORE THEN ONE MEMBER, A COMBINED DD ASPER THE FEE APPLICABLE MAY BE DRAWN PLEASECOLLECTIVELY.

Membership Category : Life Member (L.M.)

ELIGIBILITY FOR MEMBERSHIP

By- Laws 2 (ii) and (iii) of the Society read as under:

(ii)

(a)

(iii)

(a)

(b)

(c)

(d)

(e)

Life Membership

A person who satisfies the eligibility criteria as mentioned in clause 2 (iii) may become aLife Member of ISTE by paying the admissible Life Membership fee as decided from timeto time, by the Executive Council.

Membership : Eligibility Criteria :-

Any person of Indian origin or a foreign National holding a University Degree/Diploma oran equivalent qualification and who is/had been employed on the teaching faculty of arecognised technical institution; or a person having a technical academic qualificationworking in a Technical/Research Institute is ELIGIBLE for membership.

Application for membership shall be made on the prescribed form of the Society.

Application for membership shall be recommended by a Life Member of the Society.

Such application shall be approved by the Executive Council or by an Office Bearer of theSociety authorized by the Executive Council for this purpose before the membership isapproved.

The Executive Council shall have the power to refuse admission to any applicant withoutassigning any reason.