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FLUID POWER
SOCIETY
OF INDIA (Regd.)
MEM.NO.
No.86, 1st Floor, 2nd Main, Vyalikaval, Vinayaka Circle, Bangalore
- 560 003
Tele fax: 080-23340917; Mob: +91 9986504001 ;
E-mail: fpsi.regd@gmail.com
1. EDUCATIONAL QUALIFICATIONS
Course / Degree
College / University
NAME..
(BLOCK LETTERS)
2. PROFESSIONAL CAREER
DATE OF BIRTH...
Name of Organisation
From
To
Position
NATIONALITY...
OFFICIAL ADDRESS
..PIN.
TLEPHONE FAX...
E-MAIL
RESIDENTIAL ADDRESS
..
...PIN... TELEPHONE..
by tick
Class of Membership
Member Since
Date of Publication
DECLARATION
I, the undersigned certify that the statements contained herein are true. I agree that in the event of my election to any
grade of membership, I will be governed by the constitution of Fluid Power Society of India, Bangalore as they are now
formed or as they may hereafter be altered. I will advance the objectives and activities of the society so far as lies in my
power and will not do anything harmful to the image of the Society.
Date_________
____________________
Signature of Applicant
Completed document must be sent to the General Secretary FPSI together with the Xerox copies of Certificates &
required fees in the form of Crossed * Cheque/DO drawn in favour of the Fluid Power Society of India,(Regd.),
payable at Bangalore. (* Outstation cheques should include Bank Charges).
Dated ___________________
DD/ChequeNo._______________________ For Rs.______________
Drawn on_____________________________________________________ (Name of the Bank)
.
.
.
.
Associate member
Graduate Member
Technical Member
- Degree/Diploma in engineering with minimum 7 years experience and age not less than
28 years.
- Degree in Engineering from a recognized University.
- Age 17 years on the date of his application and shall possess an educational qualification
recognized by the Council and an interest in the field of Fluid Power
2. Amounts indicated are towards admission fee and first year subscription. For subsequent years, the amount
indicated as subscription apply.