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The Coimbatore Productivity Council

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Membership Application Form

Select Your Category (required)
INDIVIDUALLIFE MEMEBRSENIOR CITIZENSTUDENT

Name (In Capital Letters) (required)

Father's / Husband's Name (required)

Home Address (required)

Pin Code (required)

Date Of Birth (required)

Age (required)

Sex (required)
MaleFemale

Academic / Professional Qualification (required)

Organisation : Name & Address (required)

Organisation Phone (required)

Organisation Mobile (required)

Organisation Mail (required)

Preferred Mailing Address (required)
HomeOffice

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)

I / we agree to abide by the Memorandum of Rules of The Coimabtore Productivity Council.

Introduced By

Name	Membership Certificate Number

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.

₹472 (with GST 18%) for Annual Subscription₹2596 (with GST 18%) for 10 Years long term special membership fee (with payment of / times annual fee)₹7198 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee)

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.

₹354 (with GST 18%) for Annual Subscription₹2478 (with GST 18%) for Life time Membership fee (with payment of 20 times annual fee)

Choose your Membership Fee (required)
₹236 (with GST 18%) for Annual Subscription

Note:

All cheques are to be drawn in favour of "The Coimbatore Productivity Council"
The Year for membership is from April to March
Members joining after September of any year need to pay only half the rate of Annual Subscription and full entrance fees except Students
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