SINGAPORE

70,Park Road
#05-47 TeleTech Park
Singapore Science Park II
Singapore

INDIA
#16, Gnanajothi Nagr
Chidambaram-608 001.
Tamilnadu, India

USA
1402 S St NW
Washington, DC 20009
(202) 387-2114.

INTERNATIONAL ASSOCIATION OF ADVANCES IN ENGINEERING AND

TECHNOLOGY(IAAET)
EMemail : iaaetinfo@gmail.com Website : www.iaaet.org

Affix the Photograph

APPLICATION FOR PROFESSIONAL MEMBERSHIP

ENGINEERING SPECIALIZATION
For Electrical & Electronics, Electronics & Communication, Electronics & Instrumentation Engg, etc.,
Information Technology, Computer Eng., Instrumentation Engg, Telecommunication Eng. etc.,
US, UK and Others USD 120

INDIAN Rs.1200

SINGAPORE and MALAYSIA -$ 150

Membership Required : Senior Member (SMIAAET) / Associate (AIAAET) / Associate Member (AMIAAET) /
(Tick any one)
1. Name (Block letters)

2. Father's Name

3. Nationality

5. Age

7. Sex

: Male

9. Religion

10. Present Address

11. Permanent Address

12.Residence Phone No.

E-mail
14. ID :

4. Date of Birth
6. Place of
Birth
Female

Unmarried

13. Mobile No. :

1)

No. of Technical Paper

Published

8. Marital Status : Married

2)
:

15.

Do you require International of Professional

16. Membership :

17.

Yes

No

Educational Qualification, Technical, Trade, Vocational, Short-Term Computer Courses & Other Academics :
(Please fill the following)
Course
University / Board
Major / Specialization Year of Passing % Marks
Diploma
Bachelor
Degree
Master
Degree
Ph.D
Degree

Additional Qualification Obtained :

Professional Membership Qualification, Licenses (or) Certificate:
Name of the
Membership
Professional Society

Grade

Membership
No.

Validity

Date of Award

Technical Training/Industry/Teaching experience :

Employer Name (Current) :
Designation :
Duration of service :
Function& Responsibilities :

PAYMENT DETAILS
Total Amount Transferred

$ /Rs. / US$.

Mode of payment*
Bank Option**

Payment Made

Singapore

INDIA

USA

Sender Name
Bank Details (from where the amount is Transferred)

Date (dd/mm/yyyy) of payment

Remarks (if any)

Declaration : I agree to abide by rules of the Society.

Date :
Y

Candidate Signature
Y

OFFICE USE ONLY

Membership Grade: 1.Student Member 2.Graduate Member 3.Associate 4.Associate Member 5.Member
6.Senior Member 7.Fellow 8.Senior Fellow 9.Honorary Fellow. 10.Affiliate Member
11.Patron Member.
Remarks
Membership No. _____________________________________ Date Received _______________________
DDNo_______________________
Bank Name ________________________________________________________________ Receipt No
_______________________________
Receipt Book No_______________________
Approved ___________________ Not Approved _______________________Cancelled _______________________
Under Process _______________________Returned_______________________

Date :

Executive Committee Sign.

PLEASE TAKE PHOTOCOPY IF NEEDED

Registrar Sign.

GUIDELINES FOR REMITTANCE OF PAYMENT

1.

Cash can be remitted in any of the below mentioned Banks in your respective area in IAAET Account or available web link only.

2.

Enclose(1) the scanned Bank COUNTERFOIL (2) Passport/Stamp sized Photo (3) Complete CV

Scan the filled application, Scanned payment

document and other supporting documents send to
:

iaaetinfo@gmail.com

1. This application form must be completed in capital letters. l Three passport size color photo should be
enclosed Membership processing duration - 50 days l Photocopies of all relevant certificates,
training and Experience must be attached.
2. l If there is insufficient space within any section, the applicant may submit additional information on a
separate sheet of paper.

BANK DETAILS :

Please click following link for payment

www.iaaet.org/singaporepayment.pdf
www.iaaet.org/payment.pdf (INDIA)
www.iaaet.org/uspayment.pdf

(USA )

( Singapore)