THE COMBUSTION INSTITUTE-INDIAN SECTION (CIIS) Thermodynamics and Combustion Engg Laboratory Dept.of Mechanical Engineering, I.I.

T Madras, Chennai - 600 036 Ph: 044-2257 8517

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Applicant for Membership 1. 2. 3. Name Date of Birth Qualifications

Degree (Branch)

: : : (Attach certified copy of your degree certificate(s))

University Year of obtaining the degree

4. 5. 6.

Designation Organisation : Address

:
City Pincode : :

Telephone Number Fax :

: E - Mail :

7.

Address for Correspondence: Office (as above) / Residence

8.

Field of interest and a brief note on the recent activities:

(Attach additional sheet, if required)

See the Application Format overleaf/next page

From

To The Secretary The Combustion Institute ( Indian Section) I have given my professional details overleaf. I may please be enrolled as a Life Member of the Combustion Institute- Indian Section (LMC) I am enclosing a demand draft for Rs. 2000/- towards my subscription for the Life Membership. ( LMC fee hiked with effect from from 1st January 2010)

Date :

Signature

(Please tick the box for the corresponding amount of payment and the type of membership applied )

Note: 1.Draft should be drawn in favour of The Combustion Institute-Indian Section payable at Chennai and mailed to: PK Pandey Secretary- The Combustion Institute (Indian Section) & Vice President, Infotech Enterprises Limited, Plot No-2, IT park, Nanakramguda, Manikonda, Gachibowli, Hyderabad-500032
2. Application without signature and demand draft will not be accepted. 3. For more detail visit www.combustioninstitute-indiansection.com

Our E-mails: 1. 2.

Pradip.Pandey@infotech-enterprises.com raghavan@iitm.ac.in