NMA House, C-20/6A, Institutional Area, Sector-62, Noida, Tele: 0120-2401305 Membership Application Form - Individual

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(Affiliated to All India Management Association)

NMA House, C-20/6A, Institutional Area, Sector-62, Noida, Tele: 0120-2401305


Website: www.nmanoida.org Email ID: info@nmanoida.org
Membership Application Form – Individual
Category Applied for: ( )

STUDENT MEMBER ( )
A. NAME in full (Surname First) Mr./Mrs./Ms……………………………………………… Photo
B. DATE OF BIRTH…………………………………………………..................................
C. Designation…………………………………………………………………....................
D. Organization Name & Address………………………………………………………….
……………………………………………………………………………………..…………….
…………………………………………………………………………………………………...
Telephone No……………..Fax……………....E-mail ID………………………………………………..
E. Residential Address………………………………………………….............................................
........................................................................................................................................................
……………………………………......................................................................................................
Mobile No………………Telephone No. ………………………………...............................................
F. Academic Qualification (the highest)………………………………………………………………..
…………………………………………………………………………....................................................
G. Professional Qualification (the latest)……………………………………….…..…………………
……………………………………………………………………………………………………………….
I. Experience (of last 5 years)……………………………………………………………………………..
……………………………………………………………………………………..…………………………
J. Other Information…………………………………………………....................................................

Recommendation from Organization/Institution/Any individual NMA Member


……………………………………………………………………………………

Recommending Authority
K. Declaration

I declare the statements made in this application are correct. I agree to abide by the Rules and Regulations of
the Association.

………………..… ……………………………..
Date: Applicant’s Signature

Enclosed Cheque / Draft No………………Date………..for Rs……….Payable to Noida Management Association

CATEGORY OF MEMBERSHIP
(Membership to the Association will be governed by its rules & regulations)

PROFESSIONAL : Persons with management experience of at least 2 years.


LIFE MEMBER : Any Professional member can become life member
STUDENT MEMBER : Persons Pursuing Management studies in a University/Recognized Institute
ANNUAL SUBSCRIPTION (Financial Year April – March)
Annual Subscription
STUDENT : Rs. 300/-

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