#37/7-1, 1st Floor, P.Veerappa Road, Hanumanthanagara, Bangalore – 560 019 secretary@elcaindia.in

Membership Application Form

Application No.

for office use

1

Membership Category

I / We hereby apply for the membership of the association in the following category: (Select the Category)

2

Life Member Details

JPG/PNG, under 200KB File must be under 200KB.
Upload e-Signature JPG/PNG, under 200KB Please upload your signature (under 200KB).

Please fill all the relevant information

3

Personal Details



Please fill all the relevant information

4

About You

100 words left
5

Information About Membership

Membership ClassesLife MemberInstitutional — PrimaryInstitutional — Each Additional
Membership fee₹10,000₹20,000₹5,000
Entrance fee₹100₹100₹100
Total₹10,100₹20,100₹5,100
  • Networking in the industry
  • Invitations to seminars and webinars in the electrical field
  • Invitation to electrical industry related exhibitions
  • Peer to peer communication and knowledge sharing
  • ELCA related activities as and when conducted
6

Declaration

I/We hereby declare that we accept and agree to abide by the Memorandum of Association and rules and regulations in force of ELCA. All the above information provided by me/us is true to the best of my/our knowledge and belief.

I/We understand and accept that admitting me/us as a member of ELCA will be at the sole discretion of the ELCA Executive Committee and office bearers of ELCA.

I/We hereby apply for the Life Member / Institutional Member of the Electrical Consultants' Association of India and undertake, on admission, to abide by the rules and regulations of the association.

I confirm the above declaration is true and I agree to ELCA's Memorandum of Association and rules & regulations.

Notes

  1. Please attach 45x35mm size photo with max size less than 200kb your photograph in the space provided and e-signature in the box below the photograph.
  2. Additional information, if any, can be provided as a separate note and attached to the application form.
  3. On approval of the application for membership, the applicant shall pay the amount specified.
  4. Applicant, once becomes a member, shall collect the ID, badge, certificate and Memorandum of Association from the ELCA office in person within a month.
  5. In case of institutional member, the primary member can provide a nominee. Only the nominee, in the absence of the primary member, can attend ELCA related activities.
  6. Additional Institutional member (other than primary) — for every ten employees in the organization/institution, one additional membership can be taken.
  7. Membership fee is non-refundable.
7

For Office Use

Proposed By
Seconded By
Approved By EC

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