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HQ Office : Kama Koti Marg, Sector-6, R.K. Puram, New Delhi-110022 (India)
Phone. : Secy. Genl.:+91(11) 26185303, Sectt.:+91(11) 26185315, 26185319, 26185273, 26716778
Fax: +91(11) 26183669, E-mail : secretarygen@irc.org.in, director@irc.org.in Website : www.irc.org.in
Satellite Office : Jamnagar House, Shahjahan Road, New Delhi-110011 (India)
Phone: Secy.Genl.: +91(11) 23386486, Sectt: +91(11) 23384543, 23385395, 23387140, 23386274
Fax: +91(11) 23381649 E-mail: membership@irc.org.in, Website : www.irc.org.in
FORM A-1, APPLICATION FOR MEMBERSHIP
I desire to become a Member/Student Member/Life Member/Individual Associate Member of the Indian Roads
Congress and agree that, if admitted, I will be subject to the Memorandum, Rules, Regulations and the Bye-Laws of the
Society for the time being in force or as they may hereafter be altered or added to according to Law, and I undertake to
promote the objects and interests of the Society so far as lie in my power, provided that whenever, I shall signify in writing to
the Secretary General that I am desirous of withdrawing from the Society, I shall, after the payment of any arrears which may
be due from me, be free from the obligations above mentioned.
I give below full and accurate statement of my academic qualifications, experience, etc.:
(TO BE FILLED IN CAPITAL LETTERS)
1.
2.
DATE OF BIRTH
3.
(i)
(ii)
4.
DESIGNATION_________________________________________________________________________________________
5.
ORGANISATION________________________________________________________________________________________
6.
PRESENT ADDRESS*
PIN CODE______________________
PERMANENT ADDRESS*________________________________________________________________________________
________________________________________________________________________PIN CODE______________________
(Mobile No.)
(Res.)___________________
(E-mail)_________________________________________________________________________________________________
(* Kindly mention where you wish to receive the correspondence. Member to intimate any change in address in future)
7.
Post Held
Field of Work
Exp.2.
8.
9.
10.
11.
12.
AMOUNT TO BE REMITTED____________________________________________________________________________
(A)
(B)
DATED_________________________________________________SIGNATURE____________________________________
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------FOR USE IN THE IRC OFFICE
Roll Number_____________________________________
Receipt No.______________________________________________________ Amount Received_________________________________
Date____________________________________________________________Collection No.____________________________________
1.
1.1.
1.2.
1.3.
1.4.
1.5.
1.6.
1.7
2.
Student
Member
Rs.
400
900
1300
200
1100
Foreign
Countries
US $
100
150
250
Nil
250
Rs.
1500
5000
6500
(-) 500
6000
NOTE: The rebate is also allowed on subsequent subscription if paid before the 30 th June of every year.
Members can become Life Members. The compounding fees are given in the Age Table given below. Individual
Associate Members elected under Rule 5-f whose subscription are not in arrears may also compound their annual
subscriptions by a single payment depending upon their age at the time and which shall be 3.2 times of compounding fee for
members as given in the Age Table for compounding for Life Membership. Age shall be reckoned as that on the birthday
nearest 1st April of the year commuting annual subscriptions. Such members shall be called as Individual Associate Life
Members.
Members from foreign countries (other than SAARC countries) whose subscriptions are not in arrears may
compound their future annual subscriptions by a single payment of US $ 600.
Applicants for life membership applying directly are required to add Rs.1500/-* in addition to the fee payable as
per Age Table given below.
AGE TABLE FOR COMPOUNDING FOR LIFE MEMBERSHIP
_____________________________________________________________________________________________
Age
Compounding Fee
Age
Compounding fee
Age
Compounding Fee
Years
Rs.
Years
Rs.
Years
Rs.
_____________________________________________________________________________________________
21
17000
35
14000
49
9600
22
17000
36
14000
50
9600
23
17000
37
13400
51
8800
24
17000
38
13400
52
8800
25
16000
39
12800
53
8000
26
16000
40
12800
54
8000
27
15600
41
12200
55
7200
28
15600
42
12200
56
7200
29
15200
43
11600
57
6600
30
15200
44
11600
58
6600
31
14800
45
11000
59
6000
32
14800
46
11000
60
6000
33
14400
47
10400
and over
34
14400
48
10400
_______________________________________________________________________________________________
Demand Draft/Cheque, may be drawn in favour of Secretary General, Indian Roads Congress payable at New Delhi.