Iiw India Individual Membership Application Form Rev Jan 2019

THE INDIAN INSTITUTE OF WELDING Staple 3 Nos.
(A Member Society of The International Institute of Welding) Stamp Size

Head Quarter: Photographs
IIW-INDIA HOUSE, Plot No. 38, Geetanjali Park,
200 Kalikapur Main Road, PO: Mukundapur, Kolkata - 700099, INDIA
Tel: 91 33 2416 0826 / 2416 0942 | Telefax: 91 33 2416 0826
E-mail: [email protected] | Website: http://www.iiwindia.com
APPLICATION FOR MEMBERSHIP

1. TO THE COUNCIL OF The Indian Institute of Welding:-
I desire to be admitted / transferred as Member / Associate Member / Associate Professional Member /
Associate of THE INDIAN INSTITUTE OF WELDING. I will be governed by the Memorandum and Articles of
Association of the Institute and by its Bye Laws as may be in force from time to time. I certify that the statements
made by me in this application are true. I enclose remittance of Rs. ___________ being the entrance Fee and the Life / First
Annual Subscription, on the understanding that it will be returned in the event of my non-election.
(Please tick whichever is applicable).
Mr. Mrs. Ms. Last Name First Name
Permanent Address
City State
Pin Phone with STD Code Fax
E-mail Mobile:
Company’s Name & Address
City State Pin
Phone/Fax with STD Code E-mail
Occupation: Designation:
Birth Date (dd /mm/yy) : Nationality:
Mailing Address (Tick One): Permanent Company
2. MEMBERSHIP OF OTHER PROFESSIONAL BODIES :

3. PRESENT CLASS OF IIW MEMBERSHIP (if any): DATE OF ELECTION
4. ACADEMIC QUALIFICATIONS:
Last Exam Name of the Institution / Year of Verified & Certified by proposer
Passed Examination Authority Passing & seconder
a) General
Education
b) Technical
Education
c) Professional
Qualification
(if any)
5. STATEMENT BY PROPOSER & SECONDER
We, the undersigned from our personal knowledge of the candidate consider that subject to the fulfilment of the requirements he is fit to
be admitted as /transferred to …………………………….. of The Indian Institute of Welding and certify that to the best of our knowledge
and belief the statements made by the applicant are correct.
Name Membership No. with Class Signature
PROPOSER
SECONDER
6. PROFESSIONAL EXPERIENCE (include experience in the field of welding):
a) Name and address of the Organisation:
b) Phone No., Fax No., Email address
c) Nature of Business:
d) Designation held in the organisation:
e) Duration of Service with the organisation:
f) Details of previous experiences, if any:

Sl. Name & Address of the Organisation Nature of Business Designation held Duration of
No. service
g) Name & Position held in an Institute, if any:
h) Are you interested to associate yourself into the Branch activities: Yes No
 PHOTOCOPIES OF ALL TESTIMONIALS, CREDENTIALS TO BE ENCLOSED. PLEASE ATTACH SEPARATE SHEET AS REQUIRED.
Date Signature of the Applicant

_____________________________________________________________________________________
FOR OFFICE USE ONLY
Check List for Membership Application Processing
1. Name of Applicant: Age:

2. CLASS Applied for: Eligible for:
3. List of Enclosures
a) Age Proof Certificate: Yes / No
b) Attested copy of Higest Qualification: Yes / No
c) Payment Details:
4. Application Processing Status by IIW-HO Office:
a. Application Received on:
b. Application Acknowledged on with corrspondence details:
c. Receipt No. with date:
5. Application Processing Status by Membership Sub-Committee:
a) Application placed to the Membership Sub-Committee on:
b) Application scrutinised by Membership Sub-Committee on:
c) Application sent for Council’s approval on:
d) Membership Confirmation letter issued on:
6. RECOMMENDATION OF MEMBERS OF MEMBERSHIP SUB-COMMITTEE Signature
7. Date of issue of Membership Card / Certificate:
Chairman,
Membership Sub-Committee
TO BE RETAINED BY THE APPLICANT
CRITERIA:
There are five different classes of individual membership including Fellow, depending upon the candidate’s
qualification, experience, age, position in the field of Welding which are as follows. There is separate application for
Fellowship.
He shall be an Engineering Graduate (or its equivalent or Post Graduate Degree / Post Graduate Diploma in Applied
Science / Technology and also having experiences in the field of Welding or its allied subject for a minimum period of 5
MEMBER years)
OR
An Associate Member / Associate Professional Member of the Institute for a minimum period of 10 years.
OR
An Associate Member of the Institute for a minimum period of 5 years’ who have passed the AM-IIW Examination.
ASSOCIATE He shall be an Engineering Graduate and interested in Welding & related Technology.
MEMBER OR
A person who have passed AM-IIW Examination of the Institute.
ASSOCIATE
PROFESSIONAL He shall be a Diploma Engineer with Professional Experience in the field of welding for at least 5 years.
MEMBER
ASSOCIATE / He shall be a person skilled in the art of welding and does not fall into any of the above categories, and any other
STUDENT person interested in Welding Technology & Science and in allied processes.
7. Photocopies of the certificates for highest Technical and Professional qualifications, proof of age and
experience, and any other document the applicant likes to produce in support of his application should
be enclosed.
Bye-law 7: All members (other than Honorary Members) shall pay annual subscriptions which are due
and payable on election and thereafter on the 1st day of April in each year as follows:
Bye-law 9: Until otherwise determined by the Council, Entrance Fee shall be payable in accordance
with the following rate.
Entrance Fee Annual Total Amount Life Membership Total Amount
Class
(Rs.) Subscription (Rs.) Payable (Rs.) Subscription (Rs.) Payable (Rs.)
By every Member 750.00 750.00 1,500.00 9,000.00 9,750.00

By every Associate Member 600.00 600.00 1,200.00 7,500.00 8,100.00
By every Associate
Professional Member
600.00 600.00 1,200.00 7,500.00 8,100.00
By every Associate / Student 500.00 500.00 1,000.00 6,000.00 6,500.00

Entrance Fee as per
Retired Members (any Class)
above 60 years of age
Same as above 3,000.00 Eligibility Criteria +
3,000.00
Transfer Fee (As per Bye-law 10): Difference between the Entrance Fee for the lower and that for the higher
class.
N.B.: 1. Remittance against membership application should be in the form of Cash / Demand Draft / at par
Cheque and will be in favour of “The Indian Institute of Welding” to be payable at Kolkata.
OR
Applicants can also deposit their fees in any branch of ICICI Bank as per the details given below:
Account Name: The Indian Institute of Welding / Current Account No.: 127105000700 / Bank
Address: ICICI Bank Ltd., Kalikapur Branch, 659, Kalikapur Road, Kolkata-700078 /
RTGS/NEFT/IFSC CODE: ICIC0001271 and send the photocopy / screenshot of the deposit slip
along with the application form and other relevant documents at the Institute.
2. All membership application must accompany i) Age Proof Certificate & ii) Certificate of Academic
Qualifications duly attested by Gazetted Officer / IIW Branch Chairman / Branch Secretary.
3. Please ensure that application form is completed in all respects. Incomplete applications in any
respect will be returned back.

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THE INDIAN INSTITUTE OF WELDING Staple 3 Nos.

(A Member Society of The International Institute of Welding) Stamp Size

APPLICATION FOR MEMBERSHIP

Mr. Mrs. Ms. Last Name First Name

Pin Phone with STD Code Fax

Company’s Name & Address

City State Pin

Phone/Fax with STD Code E-mail

2. MEMBERSHIP OF OTHER PROFESSIONAL BODIES :

a) Name and address of the Organisation:

b) Phone No., Fax No., Email address

d) Designation held in the organisation:

e) Duration of Service with the organisation:

f) Details of previous experiences, if any:

g) Name & Position held in an Institute, if any:

Date Signature of the Applicant

Check List for Membership Application Processing

1. Name of Applicant: Age:

6. RECOMMENDATION OF MEMBERS OF MEMBERSHIP SUB-COMMITTEE Signature

7. Date of issue of Membership Card / Certificate:

By every Member 750.00 750.00 1,500.00 9,000.00 9,750.00

By every Associate / Student 500.00 500.00 1,000.00 6,000.00 6,500.00

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