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TECHNOLOGY TRANSFER ASSOCIATION - BANK DETAILS
BANK NAME BANK OF MAHARASHTRA
BRANCH 01124 PUNE NIBM KONDHWE

NEXT TO NIBM POST

KONDHAVE KHURD THE HAVELI

DIST. PUNE,

PUNE 411048

ACCOUNT NO. 60367199782
IFSC CODE MAHB0001124
MICR CODE 411014049

 

Name (Surname First):
Date of Birth (dd/mm/yyyy):
OFFICE
Address:
Telephone:
Fax:
Email:
RESIDENCE
Address:
Telephone:
Fax:
Email:
Website Address:
OTHER DETAILS
Position Held:
Specialization:
Years of Experience:
Qualifications:
Areas of Interest:
Membership Details:
  Membership Type   INR USD
A Ordinary Membership

Admission Fee

Recurring Annual Subscriptions

Total Payable Subscription

300

1200

1500

$ 15

$ 60

$ 75

B Life Membership Lump sum one time
Including admission fees for individuals.
6000 $ 300
C Corporate Life Membership Lump sum one time
Including admission fees for corporates.
15000 $ 750
D Corporate Ordinary

Admission Fee

Recurring Annual Subscriptions

Total Payable Subscription

1000

5000

6000

$ 50

$ 200

$ 250

E Professors/Students/Others   100  
Type of Membership Applied For:
Date of Payment:
Mode of Payment:
Cheque/DD No.
Cheque/DD Bank Drawn on:

 

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