SINGAPORE 70,Park Road #05-47 TeleTech Park Singapore Science
Park II SingaporeINDIA #16, Gnanajothi Nagr Chidambaram-608 001.
Tamilnadu, IndiaUSA 1402 S St NW Washington, DC 20009 (202)
387-2114.
INTERNATIONAL ASSOCIATION OF ADVANCES IN ENGINEERING AND
TECHNOLOGY(IAAET)
Affix the Photograph
EMemail : [email protected] Website : www.iaaet.org
APPLICATION FOR PROFESSIONAL MEMBERSHIP
ENGINEERING SPECIALIZATION
For Electrical & Electronics, Electronics &
Communication, Electronics & Instrumentation Engg, etc.,
Information Technology, Computer Eng., Instrumentation Engg,
Telecommunication Eng. etc.,
US, UK and Others USD 120INDIAN Rs.1200SINGAPORE and MALAYSIA -$
150Membership Required : Senior Member (SMIAAET) / Associate
(AIAAET) / Associate Member (AMIAAET) / (Tick any one)
1.Name (Block letters):
2.Father's Name
:
3.Nationality
4.
:
Date of Birth
5.Age:
6. Place of Birth
7.Sex:
8. Marital Status :
Male
Female
Married
Unmarried
9.Religion:
10.Present Address:
11. Permanent Address:
12.Residence Phone No.:
13. Mobile No. :
14.E-mail ID :1)
2)
15.No. of Technical Paper Published:
16.Do you require International of Professional Membership :
Yes
No
Educational Qualification, Technical, Trade, Vocational,
Short-Term Computer Courses & Other Academics :
(Please fill the following)
CourseUniversity / BoardMajor / SpecializationYear of Passing%
MarksDiploma
Bachelor
Degree
Master
Degree
Ph.D
Degree
Additional Qualification Obtained :
Professional Membership Qualification, Licenses (or)
Certificate:Name of theMembershipMembership No.ValidityDate of
Award
Professional SocietyGrade
Technical Training/Industry/Teaching experience :
Employer Name (Current) :
Designation :
Duration of service :
Function& Responsibilities :
PAYMENT DETAILS Total Amount Transferred $ /Rs. / US$.Mode of
payment*
Bank Option**
Payment Made Singapore INDIA USASender Name
Bank Details (from where the amount is Transferred)
Date (dd/mm/yyyy) of payment
Remarks (if any)
Declaration : I agree to abide by rules of the Society.Date
:Candidate Signature Y YOFFICE USE ONLY
Membership Grade: 1.Student Member 2.Graduate Member 3.Associate
4.Associate Member 5.Member 6.Senior Member 7.Fellow 8.Senior
Fellow 9.Honorary Fellow. 10.Affiliate Member 11.Patron Member.
Remarks
Membership No. _____________________________________ Date
Received _______________________ DDNo_______________________
Bank Name
________________________________________________________________
Receipt No _______________________________
Receipt Book No_______________________
Approved ___________________ Not Approved
_______________________Cancelled _______________________
Under Process
_______________________Returned_______________________
Date :Executive Committee Sign.Registrar Sign.PLEASE TAKE
PHOTOCOPY IF NEEDED
GUIDELINES FOR REMITTANCE OF PAYMENT
Cash can be remitted in any of the below mentioned Banks in your
respective area in IAAET Account or available web link only.
2.Enclose(1) the scanned Bank COUNTERFOIL (2) Passport/Stamp
sized Photo (3) Complete CVScan the filled application, Scanned
payment document and other supporting documents send to :
[email protected]
[email protected]
This application form must be completed in capital letters. l
Three passport size color photo should be enclosed Membership
processing duration - 50 days l Photocopies of all relevant
certificates, training and Experience must be attached. l If there
is insufficient space within any section, the applicant may submit
additional information on a separate sheet of paper.
BANK DETAILS : Please click following link for payment
www.iaaet.org/singaporepayment.pdf (
Singapore)www.iaaet.org/payment.pdf
(INDIA)www.iaaet.org/uspayment.pdf (USA )
