BMA

Ye a r 1 9 5

Bombay Management Association

PHOTOGRAPH

9 Podar House, 'A' Road, Churchgate, Mumbai 400 020.

Tel.: (+91-22) 2204 9698, 2204 7650, Fax: (+91-22) 2202 4743
Email: bma@hathway.com, bombay.management@gmail.com

4-2 004

APPLICATION FORM FOR MEMBERSHIP

Category Applied for (Please tick the correct choice)

Name (in Capital letters only)

Life

(Mr./Mrs.)
Home Address

Tel. Nos.

Individual

Student

Institutional Student (ISM)

(SURNAME)

(NAME)

(MIDDLE NAME)

PIN

Date of Birth

Gender

Marital Status

Name of Spouse

Organization / Institute's Name & Address

Tel. :

Mobile :

Fax :

E-mail :
Day

Month

Male

Year

Female

Married

Single

Marriage Anniversary :

PIN

Designation / Undergoing Course

Department

Preferred Mailing Address

(Please tick the correct choice)

Membership of other professional bodies

Area of special interest, please specify

How can BMA be of help to you

Any additional information

Would you like to contribute to BMA? If yes, how

Tel. :

Fax :

Email :

Website :

Home

Office / Institute

Date :
The details given above in this application are true to the best of
our knowledge and records (applicable for Student / ISM)

Applicant's Signature :
(For Office Use Only)
Payment Particulars: CQ. / D.D. No.
Amount Rs.

/ Cash

Date of Issue

Issuing Bank

Signature with Institute Seal

(To be signed by immediate Superior / Head of Inst.)

a. Entrance Fee Rs.

Receipt No.

Date :

b. Subscription Fee Rs.

Receipt No.

Date :

Cheques / D.D. to be made in favour of 'BOMBAY MANAGEMENT ASSOCIATION'

For more information on BMA please log on to our website www. bma-india.com

TICK MARK ONLY IN THE BOXES PROVIDED AGAINST THE ALTERNATIVE TO EACH QUESTION. THIS IS FOR THE
PURPOSE OF COMPUTERISED DATA PROCESSING. PLEASE MAKE SURE TO COMPLETE EACH ITEM.
Educational Qualifications :

From where did you receive the Initial

Information about BMA Membership :

Professional Skills Acquired :

Graduate B. Sc./BA/B.Com/BMS

HRD / Personnel

Post Graduate M.Sc./M.Com./M.A.

Marketing / Sales

Newspaper
(Name :
)

Engineers BE / B. Tech

Finance

Post Graduate Engineers ME /

M. Tech/MCA

Manufacturing

Management Diploma / MBA

Quality Control

Ph D or equivalent

Corporate Planning

ACS / CWA / CA other equivalent

IT / ITES

Medicine

Materials / Logistics

Others (Specify)

R&D

Exports / Imports

10

Projects

11

Others (Specify)

12

Magazine
(Name :
)

Total job experience (in years) :

upto 5

6 - 10

11 - 20

More than 20

Superiors/Colleagues/Friends

Company in-house Journal

Company circular

BMA Review

BMA Website

BMA Programmes / Conferences

Student Members

10

Others (Specify)

11

Area of Job Specialization

Nature of Business of your

Organization :

Type of Organization :

Mailer displayed at Company

Notice Board

General Management

Government

Manufacturing

Financial Management

Public Sector

Marketing / Sales

Materials Management

Private Sector

Banking & Finance

Marketing Management

Defence Services

Services Sector

Production Management

Multinationals

Consultancy

HRD / ADMIN

Small & Medium Enterprises

Education

IT

Others (Specify)

Others (Specify)

Others (Specify)

Recommended by: (Only for Life / Individual Members, to be signed by two BMA Members to whom the new member applicant is known)

Name (In Block Letters)

Membership No

Signature

1.
2.
P.S. Please forward this application to BMA along with Cheque / DD / Cash for the amount as applicable. (Refer to Brochure / Website)