NAME OF THE ORGANISATION

ADDRESS

CITY PIN CODE

PH. NO. FAX NO.

WEBSITE URL:

EMAIL

Name of the Organizational Head

Designation

Name & Designation of nominees of your organization for IIPE

1

2

Please note that nominees (unless they are already IIPE members) do not enjoy full benefits. However, the Organisation has one vote which can be exercised through one of the nominees.

Categories of Organizational Membership

Code Type of

Organization Admissio

n Rs. Annual Fees

Criteria Free copies

of Newsletter Remarks

OR Research & Testing Orgns

1000 2000 Non Profit

Bodies 2

OE Educational Institutions

1000 1000 Engg. Colleges & Polytechnics

2

Free Membership for 1 faculty, for every 40

Student Members, for the first year

OS Regd. SSI 1000 1000 Perm. SSI No. 2

OG Large & Medium Industries

3000 3000 Pvt Ltd and

Public Ltd Cos 4 Also all PSUs

Benefits

1. Free admission to all monthly lectures in various Centres. 10-20% discount for attending seminars, conventions and other training programmes

2. Concessional tariffs for advertising in IIPE publications 3. Full Access to Web Archives. It gives you access to all the resources, information and guidance you

need including research and publications, training courses and professional development support. 4. Entrepreneurs and industries can take advantage of the experts panels, to find solutions to their

nagging problems. Plus, train your employees in the niche areas of manufacturing and management.

The financial year of IIPE is from April to March. Members enrolling after 30th September, will have to

pay full entrance fee and 50% of annual subscription only.

INDIAN INSTITUTION OF PRODUCTION ENGINEERS 16 Park Road, Tasker Town, Bangalore 560051

Ph: (080) 22866328, 22864328 Email: iipenhq@yahoo.co.in

ORGANISATIONAL MEMBERSHIP FORM

REGN NO:

ORGANIZATIONAL DATA *

1 Current Annual Turnover

2 Number of Employees

(Faculty + Students for

Institutions)

3 Number of Years in Operation

4 Typical Products / Services

(Courses & Diplomas)

5 In What Areas You would want

IIPE to be of Service to you?

MEMBERSHIP IN OTHER PROFESSIONAL BODIES *

NAME OF THE PROFESSIONAL BODY CLASS OF

MEMBERSHIP

MEMBER

SINCE

ANY OTHER INFORMATION YOU WOULD LIKE TO SHARE WITH US *

PLEASE ATTACH A BRIEF WRITE UP ABOUT YOUR COMPANY

DECLARATION

I ______________________________________________, the undersigned, hereby certify that the above

particulars given by me are true to the best of my knowledge. In the event of our organization being elected

to IIPE membership, we agree to abide by the rules and regulations as entrained in the Memorandum of

Association, and the Bylaws of Indian Institution of Production Engineers. We will endeavour to advance the

objectives and programmes of the Institution as is possible within our powers.

DATE_____________________ SIGNATURE ______________________________________

NAME __________________________________DESIGNATION ________________________________

Enclosed DD/Cheque No.________________ dated__________ drawn on___________________________

Bank for Rs.______________ (Add Rs.30/- for outstation cheques)

PAYMENT RECEIVED ON _____________________________________

Membership Committee's Approval Committee Members' Signatures Date

Approved for Organization Membership

Date __________Chairman/Secretary ______________

1.

2.

* Add extra sheets if necessary