The Combustion Institute - Indian Section (Ciis) : 1. Name: 2. Date of Birth: 3. Qualifications

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THE COMBUSTION INSTITUTE -INDIAN SECTION (CIIS)

Office at: Thermodynamics and Combustion Engg Laboratory


Dept.of Mechanical Engineering, I.I.T Madras, Chennai - 600 036
Ph: 044-2257 8517

Website: www.combustioninstitute-indiansection.com
Applicant for Membership
(Effective from 01-01-2014)
1.

Name

2.

Date of Birth

3.

Qualifications

Degree (Branch)

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


University

Year of obtaining
the degree

4.

Designation

5.

Organisation

6.

Address

Telephone Number
Fax
:

City
Pincode

:
:

Mobile:
E - Mail

7.

Address for Correspondence:

8.

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


(Attach additional sheet, if required)

Note:
1. Please refer your membership number for all future communication with CIIS
2. Visit the Combustion Institute website for all updates
3. Please send your membership form along with DD of Rs 3000/ in favor of The
Combustion Insitute-Indian Section payable at Madras.
4. The application should reach to the office of CIIS whose address is available on the
website.
5. The Life membership fee of Rs 3000/ is effective from 1st January 2014.
6. The membership is applicable to persons having degree certificate before applying for
the membership.

From

To
The Secretary
The Combustion Institute ( Indian Section)
I have given my professional details overleaf. I may please be enrolled as a Member /
Life Member of the Combustion Institute, Indian Section.
I am enclosing a demand draft for Rs. 3000/- towards my subscription for the Life
Membership. ( LMC fee hiked with effect from from 1st January 2014)

Date :

Signature

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

Note: 1.Draft and application form for life membership of CIIS should be mailed to:
Dr. V. Raghavan
Treasurer -The Combustion Institute-Indian Section (CII)
The Thermodynamics and Combustion Lab
Department of Mechanical Engineering
I.I.T. Madras, Chennai-600036
2. Application without signature and demand draft will not be accepted.
3. For more detail visit www.combustioninstitute-indiansection.com

For any query please contact;


1.
pkpandey.ciis@gmail.com
2. raghavan@iitm.ac.in

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