Indian Plumbing Association

416, DLF Prime Towers, F 79 & 80, Okhla Phase - I, New Delhi - 110 020
Phone : +91-11-49863152 / 53, Email: hq@indianplumbing.org
GST No. 07AAAAI1197D1ZY

MEMBERSHIP FORM
The National Secretary
Afx
Indian Plumbing Association passport
416, DLF Prime Towers size
F 79 & 80, Okhla Phase - I, photograph
New Delhi -110 020

Dear Sir,
I hereby apply for Life Membership of the Association.

Name of the Organization

Name of the Representative
Designation
Years in Service
Address for Correspondence

City / Pin State Country

Phone/s Mobile
Email ID Website

PAN Card No. GST No.

Profession/Occupation (please tick appropriate box)

o Architect/Interior Designer o Engineer o Government Organisation o Manufacturer

o Builder/Real Estate Developer o Consultant o Contractor
o Educational/Training Institution o Trader/Distributor o Any other (please specify)

Certicate by the applicant

The undersigned certies that the information furnished above are correct and agrees to abide by the Rules and Regulations of the Association.

Date Name Signature

Details of payment
Cheque/ DD/ NEFT No. Dated Drawn on for `

The cheque/DD should be drawn in favour of Indian Plumbing Association, payable at New Delhi. Bank of Maharashtra,

Greater Kailash-II Branch, New Delhi - 110 048, Indian Plumbing Association, Account No. 20007300043. IFSC Code : MAHB0000794

Notes :
1. Please staple your Business Card / Photo along with the application form.
2. Application should be send through an IPA chapter.
3. Please attached a note about your self in approx 50 words.
TO BE FILLED BY CHAPTER

Date of receipt of application ......................................Category of Membership ............................................... Chapter.......................................

Approved / Signature of Chapter Chairman

TO BE FILLED BY HEAD QUARTER

Invoice no.............................. Date ............................ Amount .................................... Receipt no ................................. Date ..........................

Membership no. ..............................................................................Issued on .......................................................................................................

Executive Secretary
Membership Privileges
t Complimentary Copy of Uniform Illustrated Plumbing Code - India (UIPC-I)
t Complimentary Ofcial monthly publication - Indian Plumbing Today (IPT)

INDIAN PLUMBING ASSOCIATION

National President's Ofce
C/o Rajco Metal Industries (P) Limited,
Opp. Acme Industrial Estate, Sewri Bunder Road, Sewri (E), Mumbai – 400 015
Phones : +91-22-24181856, 22-24166706, Email : president@indianplumbing.org

CHAPTERS
Ahmedabad Nashik
A-401, Shapath-4, Opp. Karnavati Club, 401, Ghankar Lane, Raviwar Peth, Nashik - 422 001, India
S.G. Highway, Ahmedabad-380 015 Phone : +91-253-2577682 / 2577982, Fax : +91-253-2577982
Ph : 079 - 26604235, Mobile : 9925247747 Email : nashik@indianplumbing.org
Email : ahmedabad@indianplumbing.org Navi Mumbai
Bengaluru Ground Floor, Yayati CHS, Plot No. 9, Sector 58 A,
#7, Laxmi Narasimha Complex, 15th Cross, 100 Feet Ring Road, Palm Beach Road, Nerul, Navi Mumbai - 400 706
4th Phase, J.P. Nagar, Bangalore - 560 078, India Ph:+9122-27525300 M:+919821046499.
Ph : +91-80-41225481 / 40919417 - 18, Fax : +91-80-41225479 Email : navimumbai@indianplumbing.org
Email: bengaluru@indianplumbing.org New Delhi
Chandigarh A-8, Paryavaran Complex, Indira Gandhi National Open University Road,
Ess Kay Consultants, H No : 634, Near Shivalik Public School, Phase 6, New Delhi - 110 030, India
Mohali - 160 055 Ph : +91-11-29532720, Telefax : +91-11-29532257
Ph :+91-8146527070, Email : chandigarh@indianplumbing.org Email : newdelhi@indianplumbing.org
Chennai Pune
51, Sembudass Street, Chennai - 600 001, India #5, 1st Floor, Akshay Complex, ITI Road, Aundh, Pune - 411 007, India
Ph : +91-44-25226995, Fax: +91-4425231715, Ph : +91-20-40059723, Fax : +91-20-25697465
Email : chennai@indianplumbing.org Email : pune@indianplumbing.org
Coimbatore Raipur
102, Ranga Konar Street, Kattoor, Coimbatore - 641 009 Ofce No. 403, 404, 2nd Floor, SLT Water Front,
Ph : 0422-4393111, Email : coimbatore@indianplumbing.org Marine Drive, Telibandha, Raipur - 492 001
Goa Ph : +91-771-2432560
520, 5th Floor, Citi Centre, Patto Plaza, Panaji, Goa - 403 001, India, Email : raipur@indianplumbing.org
Ph : +91-832-243-8146, Email : goa@indianplumbing.org Surat
Hyderabad G-11, Rajeshwer Plaza, Opp. Laxminarayan Temple,
Plot No. 52, Lingaiah Nagar, Balkampet, Hyderabad - 500 018 Udhna, Surat - 394 220.
Ph : +91-40-44545100, 44545101, Ph:+919925188107, Email : surat@indianplumbing.org
Email : hyderabad@indianplumbing.org Trivandrum
Indore Koipurath, Poojappura, Trivandrum - 695 012, Kerala
No. 25 & 26, Electronic Complex Pardesipura Indore - 452 010 Phone : 0471-2340921, 9847060560,
Ph : +91-731-4736000, 9425057983, Email : trivandrum@indianplumbing.org
Email : indore@indianplumbing.org Vadodara Chapter
Jaipur Vallabhashry, A-50, Payal Park Behind Bright School,
G-9, Tirupati Trade Centre, 4, S C Road, Jaipur - 302 001, India VIP Road Vadodara - 390 022, Gujarat
Ph : +91-141-2366577, Email : jaipur@indianplumbing.org Ph : +91-265-2487479, 9409565264
Email : vadodara@indianplumbing.org
Kochi
XIII-146, Post Ofce Road, Maradu P.O., Kochi, Kerala-682 304, India Visakhapatnam
Ph : +91-484-2705897/4055897, Email : kochi@indianplumbing.org D. No. 30-13-7/1, Madhava Street Dabagardens,
Visakhapatnam - 530 020, Andhra Pradesh
Kolkata Ph : +91-891-2716439, 891-2713848
Neeranand, 42/1 A, Gurupada Halder Road, Kolkata - 700 026, India Email : visakhapatnam@indianplumbing.org
Ph : +91-33-24551067, Fax : +91-33-24551238
Email : kolkata@indianplumbing.org
Mumbai
703, 8th Floor, Ecstacy Business Park, Nr. Mulund E-W Flyover, Jatashankar
Dosa Road, Mulund(W), Mumbai-400 080, India
Ph : +91-22-259 18279 / +91-22-2591 8227
Fax: +91-22-259 18203, Email : mumbai@indianplumbing.org
Nagpur
F-22, Sai Regency, Ravinagar Square, Amravati Road, Nagpur - 440 033
Ph : +918087888827, 9730014130,Email : nagpur@indianplumbing.org