Online Registration
* Indicates Compulsory Entry
 REGISTRATION FORM
* Class of Membership
* Institutional Type
* Name in Full
* Father's Name
* Date of Birth
* Nationality
* Address
   (Door no., Street &
    Locality)
* City/Town * District/County
* State * Country
* Zip/Pin
* Phone   (O) Ex: 91+891-5531161
 (R) Ex: 91+891-5531161
   Fax  Ex: 91+891-5531161
* E-mail
 
  MEMBERS PROFILE
* Designation * Organisation
 Details of membership of other professionals Institutes/bodies
 Details of awards/honours received
 Brief Profile
 
 PAYMENT DETAILS
* Payment Mode Cheque DD
   Amount Rs.
* DD/Cheque No
* DD/Cheque Date
* Name of the Bank
 
 DECLARATION BY APPLICANT

I certify that the information furnished above, is true to the best of my knowledge and belief. Also, upon my election as Member of Condition Monitoring Society of India, I agree to abide by the rules and regulations of the Society. I shall strive to promote the objectives and ideals of the society for the enrichment of field of Condition Monitoring.

Place:
Date :

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