4
Download and fill up page 2 & 3 of the Membership Application Form in all respects. Ensure that details and documents pertaining to the membership applied for are complete and self attested. Check & tick the enclosure list before forwarding the Form duly filled and with all required enclosures to the Regional Chapter / Centre Chairperson (address as on page 3 & 4 of the Membership Application Form). Applicants are requested to : 1 Year 500 40500 90 7380 500 590 48380 15 Year In Addition to above Membership Categories, IIID Recognises special nominated Memberships through chapter / centre recommendation such as Institutional, Honorary, Fellow and Press. PLEASE NOTE : 1. Cheques or DD should be drawn in favour of “IIID and payable at par at Mumbai. Add Rs. 30.00 for Outstation Cheques. 2. Membership validity is from 1st April of the current year to 31st March of the following year. Subscriptions become due on 1st April every year. 3. Completed Application Forms should be sent to IIID HO, at Mumbai, after due verification from respective Chapter/Centre. Regions/Cities not having a Centre or Chapter, may send completed application form to IIID HO directly. 4. IIID Executive Commitee reserves the right to reject any application or change Membership Category on the basis of qualification criteria, or otherwise. 5. All the above mentioned fees valid upto March 30, 2021 only MEMBERSHIP CATEGORIES & ELIGIBILITY INSTRUCTIONS FOR FILLING MEMBERSHIP FORM : ASSOCIATE MEMBERSHIP : ASSOCIATE LIFE MEMBERSHIP : Same as ASSOCIATE membership category. RIGHTS & PRIVILEGES : Same as ASSOCIATE membership category. ASSOCIATE LIFE MEMBERSHIP, SENIOR : Same as ASSOCIATE membership category but above 65 years of age. . RIGHTS & PRIVILEGES : Same as ASSOCIATE membership category. LICENTIATE MEMBERSHIP : Same as ASSOCIATE Membership category but without requisite experience in Interior design. RIGHTS & PRIVILEGES : Licentiate members have no voting rights can only serve on any sub-committee at National / Chapter / Centre level. Shall be eligible for upgradation to associate category on gaining requisite experience. AFFILIATE MEMBERSHIP : For individuals engaged in the practice of Interior Design but do not qualify under ASSOCIATE category or who are involved in or associated with Interior Design field, such as executives in firms of Interior Designers, Interior Decorators, Furnishing Contractors, Furniture Makers, Graphic & Product Designers, Architects not Practicing as Interior Designers, Landscape Architects, Industrial Designers, Artists, Craftsmen, Interior/Architectural Photographers, Civil/Mechanical/Electrical or Electronics Engineers planning or executing jobs of Interior Decoration. RIGHTS & PRIVILEGES : Affiliate Members have no voting rights & can only serve on any sub-committee at National / Chapter / Centre Level. TRADE MEMBERSHIP : (FIRM OR COMPANY) RIGHTS & PRIVILEGES : Nominee of trade-member shall have full voting privileges and shall be eligible for office other than of President and President Elect in Executive Committee but can serve as a member in the Executive Committee similarly the nominee shall be eligible for office other than that of Chapter/Centre Chairman and Chairman Elect in the Managing Committee but can serve in the Managing Committee. Firms or Companies involved in manufacturing or selling Products or services required for Interior Decoration or furbishing or firms executing Interior jobs as contractors. The firm or company shall nominate one person who shall represent the said firm. Same as Trade Membership, ONLY one partner or owner can apply. TRADE MEMBERSHIP LONG TERM : (FIRM OR COMPANY) RIGHTS & PRIVILEGES : Same as rights & privileges as of TRADE membership. STUDENT MEMBERSHIP : Any individual who is receiving Education in Interior Design, Architecture, Industrial Design, Fine Arts, Applied Arts leading to a Degree or Diploma, shall be eligible for this membership, which will be for one year only. RIGHTS & PRIVILEGES : Student members shall have no voting rights and can only serve on any sub-committee. SUBSCRIPTION FEES Duration Fees Total 3 Year 1 Year Life 1 Year 3 Year Life Sr. 1 Year 3 Year 1 Year 3 Year 5700 2000 20000 1000 3000 10000 2000 5700 3000 8550 G.S.T. 1116 450 3690 270 630 1890 450 1116 630 1629 Entry Fees 500 500 500 500 500 500 500 500 500 500 7316 2950 24190 1770 4130 12390 2950 7316 4130 10679 5 Year 5 Year 5 Year 9300 500 1764 11564 13950 2601 500 17051 9300 1764 500 11564 Institute of Indian Interior Designers, 109-Sumer Kendra, Pandurang Budhkar Marg, Worli, Mumbai 400018. Tel : 022-24950653, Email : [email protected] Web : www.iiid.net.in In case, there is no IIID Chapter / Centre Office in your town / city, kindly send the duly filled form with all enclosures to IIID Head Office at Mumbai, directly. The attachment comprises: IIID Membership Application Form (Page 2 & 3) to be filled & sent to IIID Regional Chapter /Centre office to be referred and sent to the Head Office at Mumbai with payment. Please also submit all required self attested documents along with the form. All Other pages, to be retained by applicant. Pg. 1 Degree in Architecture(5year course) OR Interior Design (4year course) (Approved by any recognized University / Council of Architecture / The IIA) with one year full time experience in the field of Interior Designing OR Interior Design Course Approved by IIID / Diploma Course (min. 3 years) in Interior Design, Approved by a Recognized University / State Technical Education Board and three years full time experience in the field of Interior Design in case of a Recognized Diploma Course in Interior Design. RIGHTS & PRIVILEGES : Associate members shall have full voting privileges, shall be eligible for office & for service on all committees & can use the designation AIIID after their name.

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Page 1: Membership Form 2020 - IIID

Download and fill up page 2 & 3 of the Membership Application Form in all respects.

Ensure that details and documents pertaining to the membership applied for are complete and self attested.

Check & tick the enclosure list before forwarding the Form duly filled and with all required enclosures to the Regional Chapter / Centre Chairperson

(address as on page 3 & 4 of the Membership Application Form).

Applicants are requested to :

1 Year 500

40500

90

7380500

590

4838015 Year

In Addition to above Membership Categories, IIID Recognises special nominated Memberships through chapter / centre recommendation such as Institutional, Honorary, Fellow and Press.

PLEASE NOTE :

1. Cheques or DD should be drawn in favour of “IIID and payable at par at Mumbai. Add Rs. 30.00 for Outstation Cheques.

2. Membership validity is from 1st April of the current year to 31st March of the following year. Subscriptions become due on 1st April every year.

3. Completed Application Forms should be sent to IIID HO, at Mumbai, after due verification from respective Chapter/Centre. Regions/Cities not having a Centre or

Chapter, may send completed application form to IIID HO directly.

4. IIID Executive Commitee reserves the right to reject any application or change Membership Category on the basis of qualification criteria, or otherwise.

5. All the above mentioned fees valid upto March 30, 2021 only

MEMBERSHIP CATEGORIES & ELIGIBILITY

INSTRUCTIONS FOR FILLING MEMBERSHIP FORM :

ASSOCIATE MEMBERSHIP :

ASSOCIATE LIFE MEMBERSHIP : Same as ASSOCIATE membership category.RIGHTS & PRIVILEGES : Same as ASSOCIATE membership category.

ASSOCIATE LIFE MEMBERSHIP, SENIOR : Same as ASSOCIATE membership category but above

65 years of age. .

RIGHTS & PRIVILEGES : Same as ASSOCIATE membership category.

LICENTIATE MEMBERSHIP :Same as ASSOCIATE Membership category but without requisite experience in Interior design.RIGHTS & PRIVILEGES : Licentiate members have no voting rights can only serve on any sub-committee at National / Chapter / Centre level. Shall be eligible for upgradation to associate category on gaining requisite experience.

AFFILIATE MEMBERSHIP :

For individuals engaged in the practice of Interior Design but do not qualify under ASSOCIATE

category or who are involved in or associated with Interior Design field, such as executives in firms of

Interior Designers, Interior Decorators, Furnishing Contractors, Furniture Makers, Graphic &

Product Designers, Architects not Practicing as Interior Designers, Landscape Architects, Industrial

Designers, Artists, Craftsmen, Interior/Architectural Photographers, Civil/Mechanical/Electrical or

Electronics Engineers planning or executing jobs of Interior Decoration.RIGHTS & PRIVILEGES : Affiliate Members have no voting rights & can only serve on any sub-committee at National /

Chapter / Centre Level.

TRADE MEMBERSHIP : (FIRM OR COMPANY)

RIGHTS & PRIVILEGES : Nominee of trade-member shall have full voting privileges and shall be eligible for office

other than of President and President Elect in Executive Committee but can serve as a member in the Executive

Committee similarly the nominee shall be eligible for office other than that of Chapter/Centre Chairman and Chairman

Elect in the Managing Committee but can serve in the Managing Committee.

Firms or Companies involved in manufacturing or selling Products or services required for Interior

Decoration or furbishing or firms executing Interior jobs as contractors. The firm or company shall

nominate one person who shall represent the said firm.

Same as Trade Membership, ONLY one partner or owner can apply.

TRADE MEMBERSHIP LONG TERM : (FIRM OR COMPANY)

RIGHTS & PRIVILEGES : Same as rights & privileges as of TRADE membership.

STUDENT MEMBERSHIP :

Any individual who is receiving Education in Interior Design, Architecture, Industrial Design, Fine

Arts, Applied Arts leading to a Degree or Diploma, shall be eligible for this membership, which will be

for one year only. RIGHTS & PRIVILEGES : Student members shall have no voting rights and can only serve on any sub-committee.

SUBSCRIPTION FEESDuration Fees Total

3 Year

1 Year

Life

1 Year

3 Year

Life Sr.

1 Year

3 Year

1 Year

3 Year

5700

2000

20000

1000

3000

10000

2000

5700

3000

8550

G.S.T.

1116

450

3690

270

630

1890

450

1116

630

1629

Entry Fees

500

500

500

500

500

500

500

500

500

500

7316

2950

24190

1770

4130

12390

2950

7316

4130

10679

5 Year

5 Year

5 Year

9300 500 1764 11564

13950 2601500 17051

9300 1764500 11564

Institute of Indian Interior Designers, 109-Sumer Kendra, Pandurang Budhkar Marg,

Worli, Mumbai 400018. Tel : 022-24950653, Email : [email protected] Web : www.iiid.net.in

In case, there is no IIID Chapter / Centre Office in your town / city, kindly send the duly filled form with all enclosures to IIID Head Office at Mumbai, directly.

The attachment comprises:

IIID Membership Application Form (Page 2 & 3) to be filled & sent to IIID Regional Chapter /Centre office to be referred and sent to the Head Office at

Mumbai with payment.

Please also submit all required self attested documents along with the form.

All Other pages, to be retained by applicant.

Pg. 1

Degree in Architecture(5year course) OR Interior Design (4year course) (Approved by any recognized

University / Council of Architecture / The IIA) with one year full time experience in the field of Interior

Designing OR

Interior Design Course Approved by IIID / Diploma Course (min. 3 years) in Interior Design, Approved

by a Recognized University / State Technical Education Board and three years full time experience in

the field of Interior Design in case of a Recognized Diploma Course in Interior Design. RIGHTS & PRIVILEGES : Associate members shall have full voting privileges, shall be eligible for office & for service on

all committees & can use the designation AIIID after their name.

Page 2: Membership Form 2020 - IIID

Institute of Indian Interior Designers, 109-Sumer Kendra, Pandurang Budhkar Marg,

Worli, Mumbai 400018. Tel : 022-24950653, Email : [email protected] Web : www.iiid.net.in

I, the undersigned, hereby apply for IIID membership, after having read and understood theMemorandum & Articles of Association and The Code of Conduct of IIID. Upon becoming amember, I agree to abide by the same and I have no objection if IIID shares the informationcontained in this form through any website, directory, internet or any other media, in any format. I hereby declare that all the information given on this form and in all the submitted material is true.

Payment Enclosed : ( In Favour of “IIID”, payable at Mumbai )

Amount : DD / Cheque No. : Dated :

Bank :

Candidate’s Signature : Date :

REFERRED BY :

Chairperson / Chairperson Elect

Managing Committee Member

Name Membership No. Signature

Photograph

AhmednagarKolhapurMarathwada MumbaiNagpurNashikPuneSataraThane

AhmedabadBharuchCharotarSaurashtraSuratVadodara

BhopalIndoreJaipurLucknowNew DelhiChandigarh

Amravati HyderabadKolkataRaipurVizag

BangaloreChennaiCoimbatoreGoaKeralaMangalore

Dubai

(2011)

(1997)

(2019)

(1999)

(1997)

(1991)

(1988)

(2012)

(2010)

(2003)

(2009)

(2009)

(2007)

(1999)

(1997)

(2012)

(2008)

(2008)

(2009)

(2004)

(2015)

(2017)

(1996)

(2006)

(2010)

(2012)

(1994)

(1999)

(2008)

(2003)

(2003)

(2020)

(2019)

123456789

101112131415

161718192021

2223242526

272829303132

33W

es

t :

Gu

jara

tC

en

tra

l :

Ma

ha

ras

htr

aN

ort

hE

as

tS

ou

th

CHAPTER / CENTRETick AnyOne

WORK EXPERIENCE :

ORGANISATION YEARPOSITION

Present Status : Self Employed Employed

th thSCHOOL EDUCATION : 10 STD or Equivalent Qualified 12 STD or Equivalent Qualified *

*MEMBERSHIP CATEGORY

Associate Life Member

Associate Member

Trade Member (Firm)

Trade Long Term (Firm)

Licentiate Member

Affiliate Member

Student Member

Tick AnyOne

ALM

AM

TR

TR.LT

LCM

AFF

SM

DURATION1 Year 3 Years 5 Years

EDUCATIONAL QUALIFICATIONS (Kindly Attatch Attested Final Qualification Certificates)

INSTITUTE / UNIVERSITY CITYCOURSE

DURATION QUALIFICATIONYEAR OF

GRADUATION*

*

Membership Application Form

*Name : Mr. / Ms.

Firm/ORG/Institute : Year of Estb :

Designation : Date of Birth :

Address :

City : State : Pin :

Phone 1 : Mobile :

Phone 2 : Web Page :

Email 1 : Email 2 :

First Name Middle Name Surname

*

*

*

*

*

*

*

*

OFF. / RESI.

OFF. / RESI.

D M Y YYYMD

RECEIVED PAYMENT : DD CHEQUE NO. DATED :

EXECUTIVE COMMITTEE MEETING : DATE APPROVED DISAPPROVED

COMMENTS :

SIGNATURE : Chairman - Scrutiny Committee Data Entry done by :

FOR OFFICE USE

MEMBERSHIP NUMBER

Please refer to the Memorandum & Articles of Association andCode of Conduct of IIID, before applying. are mandatory fields.*

‘ ‘( (

Inte

rnat

iona

l

Life MembershipLife Membership Sr.

Pg. 2

Page 3: Membership Form 2020 - IIID

PLEASE TICK WITHIN APPROPRIATE BOXES

TRADE MEMBERS

Product / Service Profile

Architectural Hardware

Air-Conditioning

Artefacts & Accessories

Audio-Visual Solutions / Automation

Contractor or Turn-Key Solutions

Electrical & Lighting solutions

Furnishings

Flooring

Furniture Manufacturer

Glass & Glazing Solutions

Kitchen Manufacturer

Natural Stone

Paints & Construction Chemicals

Plumbing Services

Tiles & Sanitary Ware

Wood, Plywood, Laminates

TRADER

MANUFACTURER

SERVICE PROVIDER

ASSOCIATE, LICENTIATE &AFFILIATE MEMBERS

GENERAL PRACTICE PROFILE

Architecture

Interior Design

Product Design

Graphic Design

Lighting Design

Academics

Green Building Consultant

Utilities Consultant

Any Other

Any Other

Any Other

Freelance

Proprietorship Firm

Partnership Firm

Private Limited Company

Educational Institute

Public Limited Company

FIRM PROFILE

MANDATORY ENCLOSURE CHECK LIST

For ASSOCIATE, LICENTIATE & AFFILIATE MEMBERS

Brief Work Profile

Any ID For Age Proof (ALM Sr.)

COA Registration Certificate for Graduate Architects

Graduation Certificate*

Colour Photograph (self)**Cheque / DD.

Visiting Card*

*

*

Experience Certificate (Not for Licentiate)

For STUDENT members

College ID Card / Bonafide Student Certificate *Colour Photograph (self)*Cheque / DD.*

For TRADE members

Product Brochure

Brief Work Profile

Visiting Card

Trade Registration With Local Authority / Company*

Colour Photograph (self)*Cheque / DD.*

*

Institute of Indian Interior Designers, 109-Sumer Kendra, Pandurang Budhkar Marg,

Worli, Mumbai 400018. Tel : 022-24950653, Email : [email protected] Web : www.iiid.net.in

Chapter / Centre Chairpersons (2019-21) & Local Addresses

Ahmednagar Centre :MR.AVTARSINGH MOHANSINGH HIRA“Manpreet”, Plot No. 9, Chaitraban Colony, Gulmohar Road, Savedi, Ahmednagar 414003Mob. : +919860388181Email id: [email protected]

Kolhapur Chapter :MR. SANDEEP ASHOK GHORPADE“Ghorpade House” Near head post office, Ramanmala Chowk, Kolhapur 416 003.Mob. : +919422428870Email id: [email protected]

Mumbai Chapter :MS. LEENA HEMANT NIMBALKARK - 86, Kokan Nagar, Kotnis Road, Mahim, Mumbai 400016Mob. : +919869035065Email id: [email protected]

Satara Centre :MR. MAYUR NANDKISHOR GANDHIFlat No. F3, Om Residency, 374 Yadogopal Peth Satara, 374 Yadogopal Peth, Satara 415002Mob. : +919890180064Email id: [email protected]

Nashik Chapter :MS. TARANNUM ASLAM KADRI Morphosis Architects Neer Casa, Bendkule Nagar, Gangapur Road, Nashik 422013Mob.: +919822478476Email id: [email protected]

Pune Chapter : Thane Chapter :MR. SANJIV THAKUR & Associates 103, Niwara Palm Spring, C.H.S.,Off. Veer Savarkar Marg,Nr. Maharashtra Vidyalaya, Thane W - 400603. Mob. : +919820090037Email id: [email protected]

CENTRAL : MAHARASHTRA

Nagpur Chapter :MR. BHUSHAN KISHANCHAND JESWANIIqbal Manzil, Near State Bank Of India, Katol Road Chhaoni, Nagpur 440013Mob. : +919373106508Email id: [email protected]

Marathwada Centre :MS. SHARWARI ANANT DESHPANDEC - 2, 108 Green Heights, Opposite Bajaj Hospital Beed Bypass Road, Aurangabad 431001Mob. : +919657144669Email id: [email protected]

MR. GANESHKUMAR CHANGDEORAO WABLEPlot No. 14, Devgiri, 3rd Floor, Kothrud Industrial Area, Near Sangam Press, Kothrud, Pune 411029Mob.: +919881709999Email id: [email protected]

Pg. 3

Page 4: Membership Form 2020 - IIID

Charotar Centre :MR. NIRAV JAYANTIBHAI VAGHELAYaam Architects, Above Delight Gents Tailor, Mota Bazar, Vallabh Vidyanagar 388120Mob. : +919925048440Email id: [email protected]

Saurashtra Chapter :MR. HARESH BABULAL PARSANA“Shreesh”, 5th Floor, Dr. Dastur Road, Sardar Nagar, Rajkot 360001Mob. : +919825217131Email id: [email protected]

Ahmedabad Chapter :MS. RANNA N. PARIKH303 B, Shapath 3 Next to GNFC Tower, SG Road, Ahmedabad 380054Mob. : +919825066486Email id: [email protected]

Bharuch Centre :MR. CHIRAG JAYANTILAL VADGAMACourtyard Design Studio, S-18/ Hexzone Arcade, G.I.D.C. Ankleshwar 393002Mob. : +919974001036Email id: [email protected]

Surat Chapter :Amravati Chapter :MR. PAVAN KUMAR SURYADEVARA6-3-252/2/6/1, Erramanzil, Banjara Hills,Hyderabad 500082Mob. : +9199963067799Email id: [email protected]

Vadodara Chapter :MR. MAYUR P SHAH60, Matri Mandir Soc; 1st Floor, Near ISCONTemple, Hari Nagar, Gotri Road, Vadodara 390007 Mob. : +919825075048Email id: [email protected]

WEST : GUJARATEAST

Hyderabad Chapter :MR. NANDA KUMAR BIRUDAVOLU143, Road No -13, Banjara Hills,Hyderabad 500033Mob. : +918886895454Email id: [email protected]

Kolkata Centre :MR. KAMALKUMAR PERIWAL37A Baker Road, Alipore, Kolkata 700027Mob. : +919830084610Email id: [email protected]

INTERNATIONAL

Dubai Centre :MR. ZOHER ABDULLAH KAPADIALe Grand Chateau, Block C Apt; C111 JumeirahVillage Circle, Dubai- UAEMob. : +971 504953640Email id: [email protected]

Raipur Centre :MR. RUPAL BAGRECHABagrecha Interiors, Inderlok apt; 1st Floor, Motibagh Chowk to Rajbhawan rd;Civil Lines, Raipur 492006 Mob. : +919425504083Email id: [email protected]

Vizag Centre :MR.SRIRAMKRISHNA MUDRAGADHouse of architects, 6-18-3 East Point Colony, Visakapatanam 530017 Mob. : +919705388144Email id: [email protected]

NORTH

Bhopal Centre :MR. MANOJ KUMAR CHOUBEY Design Avenues, F 4 Laxmi Plaza, 125 MP Nagar, Zone 2, Bhopal 462012 Mob. : +919303131754Email id: [email protected]

Indore Centre :MR. NAEEMUDDIN QURESHI 118 Telephone Nagar, Near Bengali Square, Indore M.P. 452018Mob. : +919826078617Email id: [email protected]

Jaipur Chapter :MR. ANSHUMAN SHARMA 34 Bhagat Vatika 1 , Raj Bhavan Road,Civil Lines, Jaipur 302006Mob. : +919983831453Email id: [email protected]

Lucknow Chapter :MR. SANDEEP KUMAR SARASWATC-14, Hashita Complex, Near Shakti Nagar,Faizabad Road, LucknowMob. : +919235690191Email id: [email protected]

Chandigarh Centre :MS. ASHIMA VASHISHTHStudio archvalues, Sco 371-73, 2nd Floor, Sector-34A, Chandigarh 160022Mob. : +919814711077Email id: [email protected]

New Delhi Centre :MR. HEMANT SUDSudabraxas Interiors, W-26, Greater Kailash-2, New Delhi 110048Mob. : +919810264641Email id: [email protected]

SOUTH

Bangalore Chapter :MR. DINESH VERMA No. 300, Sankaran Complex, Langford Road, Opp. Hockey Stadium, Bangalore 560025Mob. : +919845010727Email id: [email protected]

Chennai Chapter :MR. JEYAPANDIAN K No. 454, Plot No. 104, GF, 4th East Street, Indira Nagar, Kattuppakkam, Chennai 600056Mob. : +919345259059Email id: [email protected]

Coimbatore Centre :MS. GEETHA RANINo. 1, Jagam Apts; Ground Floor, JawaharNagar, Bharathi Park Road No. 2, Coimbatore 641043Mob. : +919842871873Email id: [email protected]

Goa Centre :MR. SIDDHARTH DAYANAND NAIKUlysis, 201-A, Mathias Plaza, Near Hotel Fidalgo,Panaji, Goa 403001 Mob. : +919422057917Email id: [email protected]

Kerala Chapter :MR. GEORGE MATHAI28/3096, Cheruparambathu Road, Kadavanthara, Kochi 682020Mob. : +919895066009Email: [email protected]

Mangalore Center :MR. NISSAR MOHAMMEDNo. 165-4 Akshaya, 1st Floor, Opp. KarnatakaBank, HO Pumpwell, Mangalore 575002Mob. : +919845765364Email id: [email protected]

106-”Kinaro” Apt; B/H Shree Apt; Makkai Pool,Nanpura, Surat 395001Mob. : +919825544114Email id: [email protected]

MR. VISHAL KRUSHNAKANT MASHRUWALA

Pg.4

Institute of Indian Interior Designers, 109-Sumer Kendra, Pandurang Budhkar Marg,

Worli, Mumbai 400018. Tel : 022-24950653, Email : [email protected] Web : www.iiid.net.in