Engineers' Club, Kolkata | Application Form For Membership

Download Applicationv Form For Membership

To
The Secretary
Engineers’ Club
5, Chowringhee Place,
Kolkata – 700013

Dear Sir,

Hereby appeal to become an Ordinary / Life Member/ Corporate/ Affiliate Member of the Engineers’ Club from the date of my selection and agree to abide by the Memorandum of Association, the rules & regulation and bylaws of the club, as prescribe.

Note: The laws/ bylaws are available at Engineers’ Club, 5,Chowringhee Place, Kolkata- 700013.

My details are as follows:

A. Professional Qualification;

College	University	Year of Passing

B. Occupation (Service/ Business/ Any other)

C. Office Address

D. Residential Address

E. E-mail

F. Mobile Number

G. Alternate Contact Number

H. Date of Birth

I. List of Family Members:

Sl. No.	Name	Relation

Date:

Signature:

(033) 2228 1269

engineersclubkolkata@gmail.com

To
The Secretary
Engineers’ Club
5, Chowringhee Place,
Kolkata – 700013

A. Professional Qualification;

B. Occupation (Service/ Business/ Any other)

C. Office Address

D. Residential Address

E. E-mail

F. Mobile Number

G. Alternate Contact Number

H. Date of Birth

I. List of Family Members:

Quick Link

Service Link

(033) 2228 1269

engineersclubkolkata@gmail.com

APPLICATION FORM FOR MEMBERSHIP

ToThe SecretaryEngineers’ Club5, Chowringhee Place,Kolkata – 700013

A. Professional Qualification;

B. Occupation (Service/ Business/ Any other)

C. Office Address

D. Residential Address

E. E-mail

F. Mobile Number

G. Alternate Contact Number

H. Date of Birth

I. List of Family Members:

To
The Secretary
Engineers’ Club
5, Chowringhee Place,
Kolkata – 700013