INDIAN SOCIETY OF HEATING, REFRIGERATING AND AIR CONDITIONING ENGINEERS

Headquarters: 502, DDA Building, District Centre, Laxmi Nagar, Delhi - 110092 (India) Telefax: 011 - 2254 0537 Tel.: 011 - 4300 1814 E-mail: ishraemembership@airtelmail.in Website: www.ishrae.in
NOTE: This PDF form is fill-able on-screen. To FILL and SAVE (flatten file), you must download the FREE Nitro PDF Reader from www.nitroreader.com/download All fields are mandatory. Once complete, in all respects, a saved soft-copy (flat file) must be sent by e-mail (ONLY if payment has been made online on www.ishrae.in) OR a hard-copy by courier along with Cheque/DD. Do ensure your application is void of any discrepancies.

Chapter Name Chapter Address

Tel. E-mail MEMBERSHIP APPLICATION FOR: Member / Associate / Affiliate Applicants Name: (Last Name) Date of Birth BUSINESS ADDRESS City State Tel. with STD Code Mobile Phone E-mail HOME ADDRESS City State Tel. with STD Code Preferred Mailing option* Business Address Home Address (First Name) (Middle Name)

Your Photograph Here

(MANDATORY) Attach, if by email

PIN code: Fax:

PIN code: Fax:

EDUCATIONAL RECORD: Course Name of Institute/ University Location (City/Town) Period (From-To)

EMPLOYMENT RECORD: Period (From-To) Name and Address of Employer Designation Specific Duties

TECHNICAL AREAS OF INTEREST (Use following codes to indicate choice)

First

Second

Third

Indoor Air Quality Energy Recover Services Air Cleaning & Odour Control Industrial Ventilation Evaporative Air Cooling (Use following codes to indicate choice)

01 02 03 04 05

Air Cond. Equipment Under 15 TR Air Cond. Equipment Under 15-200 TR Air Cond. Equipment above 200 TR Unitary Refrigeration System Industrial Refrigeration System

06 07 08 09 10

Clean Room Pipe, Valve & Fittings Sound & Vibration Control Control & Instrumentation Other (Please Specify)

11 12 13 14 15

PRINCIPAL ACTIVITIES OF YOUR ORGANISATTION

Consulting Engineering Services Architectural/Engineering Services Contractors Manufacturing of HVAC&R Equipment Distributor/Wholesaler of HVAC&R Equipment 01 02 03 04 05 Manufacturing Rep./Sales Engineering Firm Industrial Firm/User HVAC&R equipment & Services Research Institute Educational Institute Others (Please Specify) 06 07 08 09 10

Papers submitted: Yes

No

If Yes, topic and area of subject:. __________________________________________

______________________________________________________________________________________________________________ REFERENCE
(Preferably by ISHRAE member)

I know the applicant by_______________________ (personal/business) association for approximately ___________ years. To the best of my knowledge, the above information is correct and as such, I recommend the applicant to be elected to membership. Additional comments: ___________________________________________________________________________________________ Reference Name & Address: _______________________________________________________________________________________ Membership Number: ___________________________ Chapter: ________________________________________________________ E-mail ID (for applicants who pay Online): ____________________________________________________________________________ OR Signature (for applicants who pay by Cheque/DD): ________________________________________ Date: ___________________ CERTIFICATE BY APPLICANT I, the undersigned certifies that all the above statements are correct and agree, if elected by the Society, that I shall be governed by its Bylaws and Rules of the Society as far as shall be in my power. FEES (These fees are collected towards the contribution of corpus funds of the trust) Registration Fee : Annual Membership Fee : (**For 5 years @ Rs. 300/- Per year) Member/ Associate/ Affiliate Rs. 3,000/Rs. 1,500/-**

Total:Rs. 4,500/Account payee Cheque (for Outstation - DD only) to be drawn in favour of ISHRAE Headquarters

PAYMENT DETAILS
Cheque/Draft Number: ______________________ Amount: __________________ Drawn on: ______________________________________ Dated: ______________________ Signature & Date _________________________________________________________________________ If Payment made online on WWW.ISHRAE.IN , please mention Unique Transaction ID: _____________________________________________ FOR OFFICE USE:

Admit

Reject

Membership Grade

Membership No.

Annexure
MEMBERSHIP OPTIONs & QUALIFICATONS Qualifications Membership of the society shall be open to all those, who are representatives of Consulting Engineers, Contractors, Manufacturers, Users industry, Educational and Scientific institutions, Sales & Service Representatives engaged in the field of Heating, Refrigeration & Airconditioning, Ventilation and other related services. At the time of admission in any specified category of membership, a member shall have adequate experience composed of any combination of the following: 1. Approved completed education beyond High/Secondary School or equivalent 2. Work experience 3. Engineering Registration whenever applicable in India.

Categories of Members The membership in the categories of Member will be given on annual basis initially for five years after which he could apply for Life membership. The other categories of members such as Associate, Affiliate and Student member will be on annual basis only. They could apply for life Membership only after their membership in upgraded to the category of Member. The decision of CWC / BOG regarding enrolment of new members / up-gradation to various categories of membership shall be final.

Member At the time of his admission a Member shall be a graduate of an engineering curriculum accredited by the Government of India and approved by Board of governors or CWC of Chapter and a minimum work experience of two years for enrolment as a member

Associate Member An associate Members shall possess an Engineering degree, engineering diploma or certificate course of ITI or recognized by Govt. of India with courses in Air-conditioning and Refrigeration and shall have interest in the advancement of the Societys aim and shall be in a position to co-operate with heating, refrigerating air conditioning or ventilation engineers in the advancement of the knowledge relating to heating, refrigerating, air-conditioning or ventilation engineering and its application. The Associate Members in good standing could apply for up-gradation as a member as indicated here below: a) b) c) d) Engineering degree after two years as Associate Member. Diploma engineering after five years as Associate Member. Certificate after eight years as Associate Member. Affiliate Member after eight years as Associate Member.

Affiliate Member A person without any formal qualification in engineering, but affiliated and interested, broadly, in the field of HVAC and refrigeration. Affiliate member could apply for Associate membership after five years as an Affiliate Member in good standing.