SINGAPORE 
     70,Park Road 
      #05-47 TeleTech Park
      Singapore Science Park II 
      Singapore	INDIA
     #16, Gnanajothi Nagr
     Chidambaram-608 001.
     Tamilnadu, India	USA
   1402 S St NW
   Washington, DC 20009
   (202) 387-2114.	
INTERNATIONAL ASSOCIATION OF ADVANCES IN ENGINEERING AND TECHNOLOGY(IAAET)

Affix the Photograph

EMemail : iaaetinfo@gmail.com  Website : www.iaaet.org

APPLICATION FOR PROFESSIONAL MEMBERSHIP

ENGINEERING SPECIALIZATION

For Electrical & Electronics, Electronics & Communication, Electronics & Instrumentation Engg, etc.,

Information Technology, Computer Eng., Instrumentation Engg, Telecommunication Eng. etc.,

US, UK and Others– USD 120	INDIAN – Rs.1200	SINGAPORE and MALAYSIA -$ 150	
Membership Required : Senior Member (SMIAAET) /  Associate (AIAAET) /  Associate Member (AMIAAET) /
			             (Tick √ any one)

1.	Name (Block letters)	:																					
2.	Father's Name																						
																							
		:																					
																							
3.	Nationality						4.																	
		:							Date of Birth																		
																													
5.	Age	:			6. Place of Birth															

7.	Sex	:								8. Marital Status :										
			Male			Female					Married				Unmarried					
9.	Religion	:																					

10.	Present Address	:																					

																														

11.  Permanent Address	:

12.	Residence Phone No.	:									13. Mobile No.  :		

14.	E-mail ID :	1)									2)				
																
15.	No. of Technical Paper Published	:												

16.	Do you require International of Professional Membership :								
		Yes			No				

17.	Educational Qualification, Technical, Trade, Vocational, Short-Term Computer Courses & Other Academics : 

(Please fill the following) 
Course	University / Board	Major / Specialization	Year of Passing	% Marks	
Diploma

Bachelor

Degree

Master

Degree

Ph.D

Degree					

Additional Qualification Obtained :

Professional Membership Qualification, Licenses (or) Certificate:
Name of the	Membership	Membership No.	Validity	Date of Award		
Professional Society	Grade					

						

Technical Training/Industry/Teaching experience :

Employer Name   (Current) :

Designation   :

Duration of service :

Function& Responsibilities :

PAYMENT DETAILS 	
Total Amount Transferred 	$ /Rs. / US$.	
Mode of payment*		
Bank Option**
		
Payment Made 	Singapore                          INDIA                       USA	
Sender Name		
Bank Details (from where the amount is Transferred)		
Date (dd/mm/yyyy)  of payment		
Remarks (if any)		
	
Declaration : I agree to abide by rules of the Society.
Date :										Candidate  Signature 
Y	                                                                                                Y
OFFICE USE ONLY

Membership Grade: 1.Student Member 2.Graduate Member 3.Associate 4.Associate Member 5.Member 6.Senior Member 7.Fellow 8.Senior Fellow 9.Honorary Fellow. 10.Affiliate Member 11.Patron Member.

Remarks

Membership No. _____________________________________ Date Received _______________________ DDNo_______________________

Bank Name ________________________________________________________________ Receipt No _______________________________

Receipt Book No_______________________

Approved ___________________ Not Approved _______________________Cancelled _______________________

Under Process _______________________Returned_______________________

Date :	Executive Committee Sign.	Registrar Sign.
PLEASE TAKE PHOTOCOPY IF NEEDED

GUIDELINES FOR REMITTANCE OF PAYMENT

1.	Cash can be remitted in any of the below mentioned Banks in your respective area in IAAET Account or available web link only.

2.	Enclose(1) the scanned  Bank COUNTERFOIL   (2) Passport/Stamp sized Photo  (3) Complete CV

Scan the filled application, Scanned payment document and other supporting documents send to :

                                  iaaetinfo@gmail.com

   	   
1.	This application form must be completed in capital letters. l Three passport size color photo should be enclosed Membership processing  duration  -  50  days    l  Photocopies  of  all  relevant  certificates,  training  and  Experience  must  be  attached. 
2.	l  If  there  is insufficient space within any section, the applicant may submit additional information on a separate sheet of paper.

BANK DETAILS :  
Please click following link for payment  
www.iaaet.org/singaporepayment.pdf    ( Singapore)
www.iaaet.org/payment.pdf   (INDIA)
www.iaaet.org/uspayment.pdf     (USA )