The Coimbatore Productivity Council

Individual Membership

Membership Application Form

    Select Your Category (required)
    INDIVIDUALLIFE MEMEBRSENIOR CITIZENSTUDENT

    Home Address (required)

    Pin Code (required)

    Date Of Birth (required)

    Age (required)

    Sex (required)

    Academic / Professional Qualification (required)

    Organisation : Name & Address (required)

    Organisation Phone (required)

    Organisation Mobile (required)

    Organisation Mail (required)

    Preferred Mailing Address (required)

    Your Current Designation (required)

    Date Of Appoinment (required)

    Experience as Supervisor or Executive cadre as on date(No. of Years) (required)

    Past Experience (Required)

    From

    To

    Designation

    Organisation and Job Details

    Any Papers Published / Presented (Optional)

    Title

    Publication / Occassion

    Date

    Remarks

    Membership of other bodies if any (Optional)

    Institution

    Category

    Professional Remarks

    Social / Service Category

    Remarks

    Any other Information (Optional)

    Introduced By

    Name

    Membership Certificate Number

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    Choose your Membership Fee (required)

    An entrance fee of ₹100 (with GST 18%) has been added along with the membership fee which you are going to choose below.


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    Choose your Membership Fee (required)

    An entrance fee of ₹100 (with GST 18%) has been added along with the membership fee which you are going to choose below.


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    Choose your Membership Fee (required)

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    Note:

    1. All cheques are to be drawn in favour of "The Coimbatore Productivity Council"

    2. The Year for membership is from April to March

    3. Members joining after September of any year need to pay only half the rate of Annual Subscription and full entrance fees except Students

    4. GST 18% Applicable


    Bank Details
    Bank Name : Kotak Mahindra Bank
    Bank Address : 727, Avinashi Road, Coimbatore, 641 018
    Account Number : 04910010011454
    IFSC Code : KKBK0000491
    Pan No. : AAATT1411E
    GST No. : 33AAATT1411E1Z6

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    [group group-payment-details]

    Please enter Your Payment Details Below:


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