THE INDIAN INSTITUTE OF ARCHITECTS

Prospect Chambers Annexe, Dr. D. N. Road, Fort. Mumbai-400001

Tel.: 2204 6972 / 2288 4805 Fax : 2283 2516. email : iia@vsnl.com Website : www.iia-india.org

GENERAL STUDENT MEMBERSHIP FORM

YEARLY SUBSCRIPTION Rs. 50/-

Name

Address

Telephone

Year of Joining Architectural Studies :

Date of Birth

Nationality

Name of Parents/Guardian :

Address

I have gone through the rules and regulations of the Indian Institute of Architects and shall abide by them.

Signature of Candidate

Shri/ Kum. The above information is correct to the best of my knowledge

is a bonafide student of (proposed & Seconded by Members of IIA)
our institution & he/she is
at present studying in

__________________ class 1)

Signature of Head of Institute 2)