Alliance for an Energy Efficient Economy (AEEE)

SAIRA TOWER, 4th Floor, Gulmohar Enclave,

N-161A, Yusuf Sarai, New Delhi - 110049
Tel: 011-40567344, T/F: 46635600
E-mail: Info@aeee.in
Web: www.aeee.in

MEMBERSHIP APPLICATION FORM

(Please read the Membership Information for Fees and Eligibility Conditions before filling this Form)

1. Corporate Information

Name of Organisation:
Address:
City: Pin Code:
Telephone(s): Fax: Email:
Company Website:
Year of Incorporation:

Name of Organisation Head (Mr/Ms/Dr)

Designation:
Direct Telephone: Mobile: E-mail:

2. Single Point of Contact (SPOC) within your company for AEEE liaison

Name (Mr/Ms/Dr):
Designation:
Direct Telephone: Mobile: E-mail:

3. Business Activities of the Applicant Organization (more than one can be selected)

Energy Consulting Services Energy Performance Contracting- ESCO

EE Equipment Manufacturer Education /Training / R&D Services

EE Equipment Distributor/ Reseller/ Equipment Operations & Maintenance

System Integrator
Banking / Financial Services Others (please specify below)

4. Other Organisational Details:

(a) Legal Structure of the Company

Proprietorship Partnership Private Limited

Public Limited Public Limited (Listed) NGO / Society

Multinational Company* Educational/R&D Institution* Government Organization*

* Please clarify here the role and structure within the parent organization or group of companies, and the place of origin:

Form 1 May, 2017 1

() Size of Company

Annual revenue during last Financial Year:

Projected annual revenue for current Financial Year:

Total Employees:

5. Type and Category of Membership Sought:

Premium Company Institution

Indicate the Fees in INR payable as per Membership Category of the applicant Company
(Please refer Fee Structure on page 3 of this Form)

Period of Premium
Membership Category Membership Fee Amount Membership
(1, 3, 5 years) Donation
Premium New1 5 2,50,000 2,50,000

Premium Renewal 5 2,50,000 --

Campanies, Public Sector Undertakings, Energy

1/3/5
Utilities / DISCOMS

Institutions, Universities, R&D Organizations 1/3/5

6. What are your specific expectations from AEEE membership? Please list up to three.

(i)
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(ii)
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(iii)
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(iv) AEEE Events of interest: (See Annexure-2. Please suggest topics of your interest)
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Signature of the Forwarding Person (Not required while e-mailing advance electronic Copy)

Name and Designation

Date Signed:

1. Premium Members must pay a Membership Fee of Rs 2.5 lakh, at the time of enrolment, which would be renewable every 5 years.
Premium Members are also required to make a one-time donation of Rs 2.5 lakh to AEEE Corpus Fund.
2. An MS Word version of this Form will be mailed to you on request to enable you to fill the details and send electronically.
Form 1 May, 2017 2
 Annexure-1

Membership Fees Applicable from April 2015

MEMBERSHIP CATEGORY DONATION / FEES

Premium Membership Donation 2,50,000

MEMBERSHIP FEES

Category & Period of Membership Annual 3-Year 5-Year

A NEW PREMIUM MEMBERS (& FOUNDERS) 2,50,000

RENEWAL- PREMIUM MEMBERS & FOUNDERS 2,50,000

All Companies, Government Organizations, State Agencies,

B 20,000 50,000 70,000
DISCOMs & Utilities, PSUs, Sector Associations, Trade Missions

Universities, Training & R&D Institutions,

C 20,000 40,000 60,000
Equipment Testing Labs, RWAs & NGOs

Form 1 May, 2017 3