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
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A ddress: .
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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