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Associ T E I Student: Intach Mem Ershi Application Form A E Corporate Associate Life Associate Institutional I Associat

This document appears to be a membership application form for the Indian National Trust for Art and Cultural Heritage (INTACH). It includes sections for applicant details, membership categories and fees. The categories listed are Associate Corporate, Associate Life, Associate Institutional, Associate, and Student. The fee structures provided are the admission fees and annual fees for each category. The form also includes spaces for applicant signature, date and contact details. Instructions are given to submit the completed form and payment to the local INTACH convener or head office.

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ratishbalachandran
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53 views1 page

Associ T E I Student: Intach Mem Ershi Application Form A E Corporate Associate Life Associate Institutional I Associat

This document appears to be a membership application form for the Indian National Trust for Art and Cultural Heritage (INTACH). It includes sections for applicant details, membership categories and fees. The categories listed are Associate Corporate, Associate Life, Associate Institutional, Associate, and Student. The fee structures provided are the admission fees and annual fees for each category. The form also includes spaces for applicant signature, date and contact details. Instructions are given to submit the completed form and payment to the local INTACH convener or head office.

Uploaded by

ratishbalachandran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IN T A C H M E M B E R S H IP A P P L IC A T IO N F O R M

_ . A S S O C IA T E C O R P O R A T E I A S S O C IA T E -L IF E I A S S O C IA T E IN S T IT U T IO N A L I A S S O C IA T E I S T U DE N T
M r.lM rs.lM s . A dmission F ee }
With subscription
R s .
A ddress: .
}
R s .
A nnual F ee
P in: .
P hone: (0) (R )
M ob: .
T otal
R s .
E -mail: .
Website : .
E ducational Qualification: .
I enclose a cheque/draft N o .
dt.. made in favour of
IN T A C H C hapter M embership for R s .
M embership N o. : .
(in case of renewal)
P rofession : .
F or S tudents N ame of Institution where studying :
.................................................................................................. .
A ge/Date of B irth: . Date: .
S ignature S ignature
S ignature
F E E S T R U C T U R E
N on Voting C ategories'
M embers C ategory A dmission F ee A nnual F ee
=A ssociate C orporate
A ssociate L ife***
A ssociate Institutional*
A ssociate**
S tudent****
*R ural
R s.50000/-
RS.10001-
R S .1000/-
R s.600/-
R s. 100/- F or 5 years
R s. 100/- F or 5 years
N il
N il
N il
100/-
N il
N il
* A ny A cademic or C ultural E lodyregistered as a S ociety/ T rust including a U niversity Department
** O pen to all individuals. A member may apply through the C onvenor after 2 years for upgradation of
O rdinary M embers with voting rights on payment of additional admission fee of R s. 1500/-. T he annual
subscription will be R s. 200/- instead of R s. 100/-
*** O pen to all individual who can apply to become L ife M embers on payment of R s. 4000/-
**** S tudent A pplicant should not be more than 25 years of age on the date of application
** T rade F ederations & such other umbrella organisations
* R esiding in P anchayat A reas
I have read the M emorandum of A ssociation and the R ules & R egulations and agree to abide by them
and to pay the A dmission F ee/A nnual S ubscription as fixed from time to time. I understand that the
decision of IN T A C H regarding my application for membership will be final.
M embership application with bank draft of requisite amount in favour of IN T A C H C hapter
M embership may be handed over/mailed to the 10caliN T A C H C onvenor/lN T A C H H ead O ffice.
Indian N ational T rust for A rt and C ultural H eritage, 71, L odhi E state, N ew Delhi-110003 (India)
P hone: 24645482,24641304,24692774,24631818,24632267,24632269
F ax: 91-11-24611290 E -mi3.iI.: Intach@deI3.vsnl.netin Website :www.intach.org

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