INDIAN ROADS CONGRESS

Kama Koti Marg, Sector-6, R.K. Puram, New Delhi-110022 (India)

Phone.: +91(11) 26171548/26185303 Fax: +91(11) 26183669,
E-mail: membership.irc@gov.in

APPLICATION FORM FOR LIFE/INDIVIDUAL ASSOCIATE/STUDENT MEMBERSHIP

(TO BE FILLED IN CAPITAL LETTERS)

1.
2.
3.
4.
5.
6.

7.
8.
9.

NAME:
NATIONALITY:
(Passport No. & Date of Issue, if Foreigner):
DATE OF BIRTH (attach matriculation certificate as proof):
QUALIFICATIONS:
DESIGNATION AND ORGANIZATION:
CONTACT (Mailing) ADDRESS:
(Postal with Pin Code):
Telephone with STD/Mobile:
Email:
BRIEF OF EXPERIENCE IN HIGHWAY
SECTOR (Period; Office/post held & Nature of duties performed)
PROFESSIONAL AREA OF SPECIAL INTEREST:
PAYMENT MODE FOR LIFE/INDIVIDUAL ASSOCIATE/STUDENT MEMBERSHIP FEE:

Through Non-Refundable Demand draft/cheque No._____________Dated______________

issued by__________________________drawn in favour of Secretary General, IRC payable at
New Delhi amounting Rs. __________________as Membership fee is enclosed
10.
I hereby request to become Life/Individual Associate/Student Membership (please tick ) of the
IRC and undertake to abide by the bye-laws of IRC and promote the objectives of the Society to
the best of my ability.
Date:
Signature
For Official Use
Receipt No:
Roll No:
Date:
Amt. Received:
Authorized Signatory of IRC
Guidelines for Life/Individual Associate/Student Membership & New Membership Fee Structure
(approved by the IRC Council in its 206th Meeting held at Srinagar, J&K on 25th/26th June, 2015)
1.

For Life Membership: Graduate Engineer or equivalent (AMIE) or Diploma with 10 years experience
or engineers/scientists having experience in relevant field for more than 10 years.
2.
For Individual Associate Membership: All professionals other than eligible for Life Membership
3.
For Student Membership: Any engineering student.
4.
FEE (Inclusive of Service Tax) TO BE PAID ALONGWITH APPLICATION FORM:
India & SAARC Countries
*E-Life Membership
Rs5000/**Non E-Life Membership
Rs10000/- (upto age of 45 years)
Rs7500/- (above age of 45 years)
Foreign Countries
*E-Life Membership
US$ 150
**Non E-Life Membership
US$ 500
Individual Associate E-Membership
*E-Life Membership
Rs5000/**Non E-Life Membership
Rs15000/E-Student Membership
Rs 500/- per annum
*
For e-membership periodical materials and correspondence by e-mail only
**
For non e-membership periodical materials and correspondence by post
____________________________________________________________________________________

INDIAN ROADS CONGRESS

Kama Koti Marg, Sector-6, R.K. Puram, New Delhi-110022 (India)
Phone.: +91(11) 26171548/26185303 Fax: +91(11) 26183669,
E-mail: membership.irc@gov.in

APPLICATION FORM FOR CORPORATE (ASSOCIATE) ANNUAL MEMBERSHIP

(FOR GOVT. DEPTTS., INSTITUTIONS, CORPORATIONS, COMPANIES, ETC. )
(TO BE FILLED IN CAPITAL LETTERS)

1.
2.

3.

NAME OF ORGANISATION:
CORPORATE ADDRESS (Mailing) (ATTACH REGISTRATION OF THE ORGANIZATION):

(Postal with Pin Code):

Telephone with STD/Mobile:
Email:
Website:
NATURE OF ACTIVITIES (ATTACHED PROFILE OF THE ORGANIZATION):
Categories: (Tick whichever applicable) (a) Machinery (b) Instrumentation Material
Testing & Others (c) Cement/Concrete/Chemicals (d) Consultant (e) Contractor (f)
Asphalt/Bitumen/Material etc. (g) Any other relevant category

4.

ANNUAL TURNOVER (ATTACH DULY AUDITED BALANCE SHEET FOR THE PRECEDING
THREE YEARS)

5.

BRIEF OF EXPERIENCE IN HIGHWAY/ROAD TRANSPORTATION SECTOR:

(Period & Nature of activities performed)
PAYMENT MODE FOR CORPORATE MEMBERSHIP FEE:

6.

Through Non-Refundable Demand draft/cheque No._____________Dated______________

issued by__________________________drawn in favour of Secretary General, IRC payable at
New Delhi amounting Rs. __________________as Annual Corporate Membership fee is enclosed
7.
FOR THE REPRESENTATIVE/NOMINEE:
(i)
Name
(ii)
Designation
(iii) Qualification
(iv)
Contact No. (Mobile/Email)
8.
I (authorized representative) hereby request for Corporate (Associate) Membership of the IRC for
the __________(Name of Organization) and undertake to abide by the bye-laws of IRC and
promote the objectives of the Society to the best of our ability.
Date:
Authorized Signatory
For Official Use
Receipt No:
Roll No:
Date:
Amt. Received:
Authorized Signatory of IRC
New Fee Structure inclusive of Service Tax (approved by the IRC Council in its 206th Meeting held
at Srinagar, J&K on 25th/26th June, 2015) to be paid alongwith Application Form:
Corporate E-Membership (Annual)
Annual turnover upto Rs.5 Cr.
Rs. 21000/Annual turnover above Rs.5 Cr. and upto Rs.10 Cr.
Rs. 51000/Annual turnover above Rs.10 Cr. and upto Rs.25 Cr.
Rs. 100000/Annual turnover above Rs.25 Cr. and upto Rs.100 Cr
Rs. 500000/Annual turnover above Rs.100 Cr.
Rs. 1000000/Corporate E-Membership (Foreign Countries) (Annual)
US $ 350