Membership Form

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_______, certify the above statement and do hereby agree to }\par\pard\li1133\r
i0\sl-360\slmult0 \fs16\cf0\f0\charscalex100 {Be governed by the Bye Laws and Re
gulations of the Instit}\fs16\cf0\f0\charscalex100 {ution of Naval Architects du
ring my membership of the}\par\pard\li1133\ri0\sl-186\slmult0 \fs16\cf0\f0\chars
calex100 {Institution.}\par\pard\li1133\ri0\sl-373\slmult0 \fs16\cf0\f0\charscal
ex100 {Date _________________
Signature__________________________}\fs16\cf0\f0\charscalex10
0 { }\par\pard\li1133\ri0\sl-440\slmult0 \fs22\cf0\f0\charscalex100\b {Recommend
ed By:}\b0 \par\pard\li1133\ri0\sl-360\slmult0 \fs16\cf0\f0\charscalex100 {Name
_________________________________
Name _________
________________________ }\par\pard\li1133\ri0\sl-373\slmult0 \fs16\cf0\f0\chars
calex100 {Membership No.
Membership No. }\par\pard\li1133\ri0\sl-360\slmult0 \
fs16\cf0\f0\charscalex100 {Signature________________________
Signature_____________________}\par\pard\li1133\ri0\sl
-440\slmult0 \fs22\cf0\f0\charscalex100\b {Note: }\b0 \par\pard\li1133\ri0\sl-2
13\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-226\slmult0 \fs16\cf0\f0\charscalex1
00 {* Application for admission as fellow are to be recommended by two Fellows.}
\par\pard\li1133\ri0\sl-186\slmult0 \fs16\cf0\f0\charscalex100 {* Application fo
r admission to class below fellow are to }\fs16\cf0\f0\charscalex100 {be recomme
nded by any one Member from any higher class of}\par\pard\li1133\ri0\sl-173\slmu
lt0 \fs16\cf0\f0\charscalex100 { Membership than that applied for.}\par\pard\l
i1133\ri0\sl-186\slmult0 \fs16\cf0\f0\charscalex100 {* Application for admission
as Student to be forwarded through their faculty. }\par\pard\li1133\ri0\sl-186\
slmult0 \fs16\cf0\f0\charscalex100 {* Cheque should be made in the name of Insti
tution of Naval Architects. }\par\pard\li1133\ri0\sl-186\slmult0 \fs16\cf0\f0\c
harscalex100 {-------------------------------------------------------------------------------------------------------------------------------------------------------------}\par\pard\li1133\ri0\sl-360\slmult0 \fs16\cf0\f0\charscalex100 {Ap
plication forwarded through ________________ Chapter.}\par\pard\li1133\ri0\sl-37
3\slmult0 \fs16\cf0\f0\charscalex100 {Cheque No. _____________ Drawn on________
_______________________(Bank Name)}\par\pard\li1133\ri0\sl-373\slmult0 \fs16\cf0
\f0\charscalex100 {Dated__________ for Rs. ________________}\par\pard\li1133\ri0
\sl-320\slmult0 \fs28\cf0\f0\charscalex100 {---------------------}\fs28\cf0\f0\c
harscalex100 {------------------}\fs28\cf0\f0\charscalex100 {--------------------}\fs28\cf0\f0\charscalex100 {------------------}\fs28\cf0\f0\charscalex100 {-------------}\par\pard\li4120\ri0\sl-466\slmult0 \fs24\cf0\f0\charscalex100\b {F
or Head Office Use Only}\b0 \par\pard\li1133\ri0\sl-240\slmult0 \fs22\cf0\f0\cha
rscalex100\b {PARTICULARS OF RECIEPT OF APPLICATION}\b0 \fs16\cf0\f0\charscalex1
00 {:}\par\pard\li1133\ri0\sl-373\slmult0 \fs16\cf0\f0\charscalex100 {Applicatio
n received on \uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230
c1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\
u8230X\uc1\u8230X}\par\pard\li1133\ri0\sl-506\slmult0 \fs16\cf0\f0\charscalex100
{Accepted
}{ }\fs46\cf0\f0\charscalex100 {\uc1\u9633X}\fs16\cf0\f0\charsca
lex100 {
Rejected }{ }\fs46\cf0\f0\char
scalex100 {\uc1\u9633X}\par\pard\li1133\ri0\sl-360\slmult0 \fs16\cf0\f0\charscal
ex100 {If rejected reasons _____________________________________________________
_________________________}\par\pard\li1133\ri0\sl-373\slmult0 \fs16\cf0\f0\chars
calex100 {Membership No. allotted \uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X
\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc
1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230XDate of acceptance \uc1\u823
0X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X\
uc1\u8230X\uc1\u8230X\uc1\u8230X\uc1\u8230X..
}\par\pard\li1133\ri0\sl213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-333\slmult0 \fs16\cf0\f0\charscalex
100 {GENERAL SECRETARY
SECRETARY }\par\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\l
i1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\
par\pard\li1133\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1133\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1133\ri0\sl-226\slmult0 \fs16\cf0\f0\charscalex100 {Corresp
ondence add: C/O M/s Bharati Shipyard Ltd, }\fs16\cf0\f0\charscalex100 {Oberoi I
I, 646, Link Road,}\fs16\cf0\f0\charscalex100 { Andheri (W) Mumbai-400053}\par\p
ard\li1133\ri0\sl-186\slmult0 \fs16\cf0\f0\charscalex100 {
E-mail:}{ }\fs16
\cf1\f0\charscalex100\ul {{\field{\*\fldinst{HYPERLINK "mailto:ina.india@gmail.c
om"}}{\fldrslt {ina.india@gmail.com}\ul0 \fs16\cf1\f0\charscalex100\ul {}}} }\ul
0 { }\fs16\cf0\f0\charscalex100 {website:}\fs16\cf1\f0\charscalex100\ul {{\field
{\*\fldinst{HYPERLINK "http://www.ina.india.org/"}}{\fldrslt { }\ul0 \fs16\cf1\f
0\charscalex100\ul {www.ina.india.org}}}}\ul0 \fs16\cf0\f0\charscalex100 {{\fiel
d{\*\fldinst{HYPERLINK "http://www.ina.india.org/"}}{\fldrslt { }}} phn: 022 39
50 6905 fax: 022 3950 6900}\par}

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