Life Membership fee : Rs.

3000/- Phone : 26963431 , 26513542

Mode of Payment : DD only, in favour of I.S.T.E. Fax : 011-26852421
payable at New Delhi E-mail : istedhq@vsnl.net
Website : www.isteonline.in

INDIAN SOCIETY FOR TECHNICAL EDUCATION Paste your

Colour Unattested
Shaheed Jeet Singh Marg, New Delhi-110016 photograph here
(Registered Under Societies Registration Act XII of 1860)

APPLICATION FOR LIFE MEMBERSHIP

Note: 1. Please type or write legibly in CAPITAL LETTERS IN English only
2. Please get the application recommended by a member of ISTE/ Head of institution.
3. Leave one column BLANK between words/initials.
4. 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
Status Name

Date of Birth Qualifications Sex

Area of Specialisation
Designation
Institute
City/State Pin Code

Mailing Address
(if different from above)

Pin Code
E-mail id

Membership Category Mobile No.

Landline Tel. STD Code

Details of Remittance : 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 Signature of Recommending officer.
Place Name :
Date Designation:
Date :
FOR OFFICE USE ONLY
Membership fee received on______________ Membership Number L M
INSTRUCTIONS FOR FILLING UP APPLICATION FORM
For status write : MR, MRS, MISS, SHRI, SMT, DR, PROF, etc

Date of Birth : (18 September, 1963) 18-09-63

Write Highest : PH.D, M.TECH, M.SC, BE, B.TECH, B.SC, B.A, DIPLO. etc
Qualification only
Sex : M or F
Specialisation : CIVIL ENGINEERING, ELECTRICAL ENGINEERING, PHYSICS,
MATHEMATICS, etc.
Designation : PRINCIPAL, DIRECTOR, PROFESSOR OF M.TECH, ENGG, PROF
AND HOD OF COMPUTER SCIENCE
Address : MALAND COLLEGE OF ENGINEERING,
(Institute, State, Pin) : HASSAN, KARNATAKA-573201
(Example)
P.S. : IF THERE ARE MORE THEN ONE MEMBER, A COMBINED DD AS
PER THE FEE APPLICABLE MAY BE DRAWN PLEASE
COLLECTIVELY.
Membership Category : Life Member (L.M.)

ELIGIBILITY FOR MEMBERSHIP

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

(ii) Life Membership
(a) A person who satisfies the eligibility criteria as mentioned in clause 2 (iii) may become a
Life Member of ISTE by paying the admissible Life Membership fee as decided from time
to time, by the Executive Council.
(iii) Membership : Eligibility Criteria :-
(a) Any person of Indian origin or a foreign National holding a University Degree/Diploma or
an equivalent qualification and who is/had been employed on the teaching faculty of a
recognised technical institution; or a person having a technical academic qualification
working in a Technical/Research Institute is ELIGIBLE for membership.
(b) Application for membership shall be made on the prescribed form of the Society.
(c) Application for membership shall be recommended by a Life Member of the Society.
(d) Such application shall be approved by the Executive Council or by an Office Bearer of the
Society authorized by the Executive Council for this purpose before the membership is
approved.
(e) The Executive Council shall have the power to refuse admission to any applicant without
assigning any reason.