I want to join SAEINDIA and take advantage of all the member benefits SAEINDIA STUDENT MEMBERSHIP APPLICATION SPONSOR

(SAEINDIA MEMBER OR HOD of the College)

Name : Membership No. Designation : Please Type Or write clearly in Bold First Name Student Details : Middle Initial
(Ignore if not applicable)

The Engineering Society For Advancing Mobility Land Sea Air and Space

SAEINDIA Office :

No 1/17Ceebros Arcade, 3rd Cross, Kasturba Nagar, Chennai -600020 Telefax: 91-44-24411904 Phone : 91-44-42152280 E-mail : fathima@saeindia.org, ed@saeindia.org

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Educational Record College Name: Degree :

( B.E/B.Tech/B.Sc Engg/M.E./PhD /Others) Specify

Major : ( Mechanical / Automobile / ECE / EEE / Others) Specify Year of Study I / II /III / IV : College Address : (Block Letters)

Course Commencement Date : Home Address : (Block Letters)

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My preferred mailing address Home / College : Payment Details DD No. / Chq. No.: Branch: Signature :

Amount in Rs.: Bank: Date :

Date:

Membership Eligibility : Applicants must be students leading in any bachelor, masters, or doctoral in engineering technology. Membership Services : Through SAEINDIA student membership, students can enjoy many of the services made available to SAEINDIAs regular members. Further, SAEINDIA Collegiate Clubs offer student members organized programs, design competition, networking opportunities with Industry leaders and leadership experience. SAEINDIA Student members will receive Automotive and Engineering magazines online FREE. The online magazines offer the same great technical content and additional features in a searchable PDF format. Archived issues are also available. College Seal: SAEINDIA Student : Members now get online access to update. SAEINDIAs Newsletter featuring society events, industry news, job openings, and more. Student Members will be provided with I.D. and Password. Join today to gain access to SAEINDIAs magazines publications online. st st Signature of the faculty advisor / HOD

Membership year for new enrolment is April 1

March 31

1st Year Student 400 x 4 + 500 = Rs.2100/- + Rs.260/- (12.36% Service Tax) = Rs.2360/2nd Year Student 400 x 3 + 600 = Rs.1800/- + Rs.223/- (12.36% Service Tax) = Rs.2023/3rd Year Student 400 x 2 + 700 = Rs.1500/- + Rs.185/- (12.36% Service Tax) = Rs.1685/4th Year Student 400 x 1 + 800 = Rs.1200/- + Rs.148/- (12.36% service tax) = Rs.1348/For Annual Membership Rs.400/- + Rs.49/- (12.36% service tax) = Rs.449/Please visit www.saeindia.org Name of the faculty adviser / HOD SAEINDIA Collegiate Club

Student Annual Dues are Rs.400/- [April 2013 onwards] Dues to SAEINDIA are payable in Chennai by DD. Dues can also be remitted to any branch of ICICI Bank in the name of SAEINDIA A/c. No : 000101202792. Please enclose Xerox copy of the Challan Counterfoil with this application.