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CENTRAL BOARD OF IRRIGATION AND POWER

Malcha Marg, Chanakyapuri New Delhi 110 021


Phone : 011 -26115984, Fax: 011 -26116347
E-mail: cbip@cbip.org; / dasgupta@cbip.org

MEMBERSHIP FORM

Organisation_________________________________________________________________

Address _________________________________________________________________

Phone ____________________ Fax ________________ E-mail _______________________

Names & Address with phone nos. of four executives of your organization who will represent on
General Body of CBIP and receive periodicals.

1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

4, _______________________________________________________________________________

Payment of Membership fee of Rs.59,000/- (inclusive GST @ 18 %) per year is to be remitted


through cheque/DD in favour of Central Board of Irrigation and Power payable at New Delhi.

OR

Through bank transfer to Central Board of Irrigation and Power Account No. 00031110004411
(MICR Code: 110240001) Swift Code : HDFCINBBDEL Branch/RTG/NEFT/IFSC: HDFC0000003
HDFC Bank, 209-214,Kailash Building, 26, Kasturba Gandhi Marg, New Delhi 110 001, India.

Dated:

Place:

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