Form F

INSTITUTE OF TOWN PLANNERS, INDIA

DECLARATION
I, the undersigned _____________________________________ being engaged in the
study (or practice) of Town Planning, having attained the age of twenty-five years, and having
been elected an Associate of the Institute of Town Planners, India do hereby promise and agree
that I will not accept any trade or other discounts or give or accept any illicit or surreptitious
commission or emoluments in connection with any works, the execution of which I may be
engaged to superintend, or on which may be employed under any other person or with any
other professional business which may be entrusted to me. Lastly, I declare that I have read the
Memorandum and the Articles of Association and the Bye-Laws of the said Institute and will be
governed and bound thereby, and will submit myself to every part thereof and to any
alterations thereof which may hereafter be made until I have ceased to be a member: and that I
shall abide by the rules which may be framed by the Institute from time to time regarding
professional charges; and that by every lawful means in my power I will advance the interests
and objects of the said Institute.

Witness my hand this _____________________________________ day of _________________

Signature _______________________________________________________ (Associate)

Signed by the above-named _________________________________________________
(Signature of Witness)
Name of Witness _______________________________________________________________
Address _______________________________________________________________________
________________________________________________________________________

The Secretary General

Institute of Town Planners, India
4-A, Ring Road, I.P. Estate
New Delhi 110 002.

NOMINATION
Sir,
I, _________________________________________________ permanent resident of
______________________________________________________________________________
and a Fellow / Associate Member of the Institute of Town Planners, India, hereby nominate the
following to receive the benefits accruing from the Benevolent Fund of the Institute in the
event of my death while still being an active1 member of the Institute:
Sl.
No.
1.

Name of the Nominee (s)

Relationship with
the Member

Age

%age of
Share

2.
3.
4.

Place: ________________
Date : ________________

WITNESS
1. Signature: _____________________
Name: ________________________
Add: _________________________
_____________________________

Signature _____________________
Name in Full ___________________
Membership No.________________

2.

An active member means a member who is not in arrears of subscription fee.

Signature: _______________
Name: __________________
Add:____________________
________________________