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Life
(Mr./Mrs.)
Home Address
Tel. Nos.
Individual
Student
(SURNAME)
(NAME)
(MIDDLE NAME)
PIN
Date of Birth
Gender
Marital Status
Name of Spouse
Tel. :
Mobile :
Fax :
E-mail :
Day
Month
Male
Year
Female
Married
Single
Marriage Anniversary :
PIN
Department
Tel. :
Fax :
Email :
Website :
Home
Office / Institute
Date :
The details given above in this application are true to the best of
our knowledge and records (applicable for Student / ISM)
Applicant's Signature :
(For Office Use Only)
Payment Particulars: CQ. / D.D. No.
Amount Rs.
/ Cash
Date of Issue
Issuing Bank
Receipt No.
Date :
Receipt No.
Date :
For more information on BMA please log on to our website www. bma-india.com
TICK MARK ONLY IN THE BOXES PROVIDED AGAINST THE ALTERNATIVE TO EACH QUESTION. THIS IS FOR THE
PURPOSE OF COMPUTERISED DATA PROCESSING. PLEASE MAKE SURE TO COMPLETE EACH ITEM.
Educational Qualifications :
Graduate B. Sc./BA/B.Com/BMS
HRD / Personnel
Marketing / Sales
Newspaper
(Name :
)
Engineers BE / B. Tech
Finance
Manufacturing
Quality Control
Ph D or equivalent
Corporate Planning
IT / ITES
Medicine
Materials / Logistics
Others (Specify)
R&D
Exports / Imports
10
Projects
11
Others (Specify)
12
Magazine
(Name :
)
6 - 10
11 - 20
More than 20
Superiors/Colleagues/Friends
Company circular
BMA Review
BMA Website
Student Members
10
Others (Specify)
11
Type of Organization :
General Management
Government
Manufacturing
Financial Management
Public Sector
Marketing / Sales
Materials Management
Private Sector
Marketing Management
Defence Services
Services Sector
Production Management
Multinationals
Consultancy
HRD / ADMIN
Education
IT
Others (Specify)
Others (Specify)
Others (Specify)
Recommended by: (Only for Life / Individual Members, to be signed by two BMA Members to whom the new member applicant is known)
Membership No
Signature
1.
2.
P.S. Please forward this application to BMA along with Cheque / DD / Cash for the amount as applicable. (Refer to Brochure / Website)