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NAFEN CORPORATE MEMBERSHIP ONLINE REGISTRATION FORM
Name of the Organisation
 :
Name of the Chief Executive
 :
Desigination/Position
 :
Office Phone Number
 :
Office Fax Number
 :
Website
 :
Address
 :
Brief Description of the Organisation
(Not more than 200 words)
 :

NAME & DESIGINATION OF THREE EXECUTIVES NOMINATED(Can be changed once a year by the Chief Executive)

 
S.No.
Name of Executive
Address of Executive
Designation
Area of Specialisation
A.
B.
C.

 
Residential Address of the Chief Executive
 :
Phone
 :
Fax
 :

E-mail
 :
PROFESSIONAL EXPERIENCE OF THE CHIEF EXECUTIVE
S.No.

Name of Organisation
Period in Years
Designation
Area of Specialisation
DECLARATION
We agree that in event of acceptance of our membership form by the society. We will be governed by the rules,  regulations and byelaws framed from time to time by the society.
We certify that the statement contained in this form are true to the best of my knowledge and belief.
We have seperately sent  Cheque/Bank Draft No. :
Dated :
Drawn on for Rupees : in favour of
     
" NATIONAL FOUNDATION OF INDIAN ENGINEERS", Payable at New Delhi towards Corporate Life Membership fee.
Place :
Date :
(DD/MM/YYYY)