Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

COIMBATORE MANAGEMENT ASSOCIATION

(Affiliated to All India Management Association)


“D.Jayavarthanavelu Hall”, Vidya Apartments, 60, Race Course, Coimbatore - 641 018
Phone : 0422-4504132 | E-mail : cma.management@gmail.com | Visit us at : www.coimbatoremgt.in

MEMBERSHIP APPLICATION Please Tick Category

CORPORATE / INSTITUTION CORPORATE INSTITUTION INDIVIDUAL LM STUDENT

NAME :

ADDRESS :

PHONE: MOBILE: E-MAIL:

REPRESENTATIVE (Two Persons)

Name Designation Nature of Responsibilities

1.

2.

HEAD OF ORGANISATION HEAD OF INSTITUTION

1.

2.

INDIVIDUAL /STUDENT

Name :
Father’s Name / Husband Name :
Home Address :

Date of Birth : Sex M F


Academic / Professional Qualifications :

Organsation/ Institution: Name & Address :

PHONE (O) MOBILE: E-MAIL :


(R)

Current Designation :
Date of Appointment :

PAST EXPERIENCE
From To Designation Organisation & Job Details
NEW RATES W.E.F 9TH SEPTEMBER 2022

We prefer you to make the Payments by way of Bank Transfer in favour of “COIMBATORE MANAGEMENT ASSOCIATION”
PAN Number: AADTC3542L Bank Account Number: 50200087939627 Bank Name: HDFC BANK
Branch: Race Course , Coimbatore - 641018 IFSC Code: HDFC0009496
(After making Bank Transfer, please email us with your details, amount & the UTR number, for our accounting purpose)

You might also like