Educatin Directrate, Natinal Headquarters,CIT Campus, IV Crss Rad, Taramani, Chennai - 600 113.
Email : firstname.lastname@example.org Website:http//www.csi-india.org
Appiain f Aadmi Iniuin Mmbhip
Yu can jin CSI nline ‘http:// www.csi-india-rg’ oRcmplete this applicatin frm and send with payment by pst / curier t CSI, Chennai
The Director (Education)Computer Society of IndiaEducation Directorate, National Headquarters,CIT Campus, IV Cross Road, Taramani,Chennai - 600 3.
W hby appy f aadmi Iniuin mmbhip.
on apprval f Membership, we shall abide by theCnstitutin & Byelaws f the Sciety and the Cde f Ethics.
1. Name of the Institution
2. Pstal Address
(Block letters) :
(at which mail / ther crrespndence will be sent)
Phn wih stD cd
3. Email: _____________________________________________________ 4. Major Activity of the Institution :5. Details of Nominating Authority :
6. Names of the Nominees (3 nominees are allowed free)
Name of the NomineeMembership No. (for CSI use)1.2.3.
embership year April-March
or ofce use only
Mmbhip F f Aadmi Iniuin :
a) Entrance fee : Rs.1500/-
Yay / rnwa f
: Rs.3000/-b) The academic institutin can nminate three nminees asmembers.c) Fr additinal nminee, yearly fee is Rs.900/-d) Fr the membership enrllment during any quarter f the year the fees payable are :
Pid f JiningenanFr.F f cun Ya r.F f Nx Ya r.tar.
1st Quarter (July t Sept)15003000Nil45002nd Quarter (oct t Dec)15002250300067503rd Quarter (Jan t Mar)15001500300060004th Quarter (Apr t June)150075030005250
e) Lng term membershipFee Rs. 20,000/- fr 7 years (3 nminees are allwed free)Fee Rs. 55,000/- fr 20 years (3 nminees are allwed free)
enan f waivd f ng m mmbhip.