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Admitted as Member on..............................
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Secretary:

INDIAN SOCIETY OF EARTHQUAKE TECHNOLOGY

ROORKEE-247667, INDIA
APPLICATION FOR ENROLLMENT AS LIFE MEMBER/ANNUAL
MEMBER/STUDENT MEMBER

Name in full___________________________________________________________________________________________
(First) (Middle) (Surname)

Date of birth____________________________Nationality_____________________________Sex______________________

Mailing Address

Phone/Mobile______________________________________Fax_________________________________________________

E-mail________________________________________________________________________________________________

Profession and name of present employer____________________________________________________________________

_____________________________________________________________________________________________________

Qualifications

Degree Year Institution/University

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

Employment

Post Held Duration Name of Employer Nature of Work

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________
Membership of other Academic Societies and Institutions

Name two referees who are fellows/members of the Society and will support or are supporting your candidature (if an ISET
member is not locally available, give names of two referees who can testify to your qualifications etc.)

Name of the referee Membership No. Referee’s Signature

1.

2.

I desire to become as Life Member/ Annual Member/ Student Member of the Indian Society of Earthquake Technology. I promise
to abide by the Constitution and Bye Laws of the Society and offer my cooperation in promoting its objective.

I enclose herewith a remittance of Rs. for the year by

Cash/Draft/Electronic Transfer on the understanding that the same will be returned to me (at my cost) in the event of my
application not being accepted.

Place:

Date : Signature of Applicant

Mail the duly completed The Secretary, Indian Society of Earthquake Technology, Earthquake Engineering Department
application form to: Building, Indian Institute of Technology Roorkee, Roorkee-247 667, Uttarakhand, India
Tel.: 01332-284491, E-mail: office@iset.org.in / iset@iitr.ac.in
Membership Payment Online Fees Submission through Net Banking, Credit Card, Debit Card, etc. and Offline fee
Options submission through DD & Cash may please be made in favour of SECRETARY, INDIAN
SOCIETY OF EARTHQUAKE TECHNOLOGY and payable at ROORKEE. Outstation cheques
shall not be accepted.
The Membership fee can be transferred electronically to the following Bank A/c:
Indian Overseas Bank, Roorkee Punjab National Bank, Roorkee
Name of the Account Secretary, Indian Society of Secretary, Indian Society of
Earthquake Technology Earthquake Technology
Account Number 035901000001269 404400 0100147706
Name of the Bank Indian Overseas Bank Punjab National Bank
Address Indian Overseas Bank, Civil Punjab National Bank, IIT
Lines, Roorkee Campus, IIT Roorkee
Branch Code 0359 404400
IFSC Code IOBA0000359 PUNB0404400
Swift Code IOBAINBB001 PUNBINBBRKU
After successful payment of membership fee, please inform us the transaction details.
SUBSCRIPTION
For different categories of members
(a) Life Membership Rs. 8000 (US$ 500)
(b) Annual Membership Rs. 1500 (US$ 100)
(c) Student Membership* Rs. 500 (US$ 50)

* does not include free-of-charge issues of E-copies of the ISET Journal

Eligibility Criteria
Life/Annual Member :- The membership of the Society is open to all individuals associated with or interested in earthquake
technology. In addition to this, they must have a degree in any branch of science or technology or engineering, or ‘engineering
diploma with more than 10 years of professional experience’ or its equivalent.
Student Member :- All interested undergraduate/postgraduate students who are pursuing studies to obtain a degree in any branch
of science or technology or engineering, or equivalent