Application: Fellow Membership

Personal Information

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Standard guidelines for the passport photographs are applied. Maximum file size - 2MB

Prerequisites

Working Experience

Institute, Post, Full-time/Part-time, Start Date, End Date
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Institute, Post, Full-time/Part-time, Start Date, End Date
Click or drag files to this area to upload. You can upload up to 20 files.
Institute, Post, Full-time/Part-time, Start Date, End Date
Click or drag files to this area to upload. You can upload up to 20 files.
Click or drag files to this area to upload. You can upload up to 20 files.

Citations

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1st Proposer Details

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Scan copy of duly signed declaration form in the given format.

2nd Proposer Details

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Processing Fee

A processing fee of Rs. 500.00 is charged for each submission of the application. The payment should be credited to the following account. Bank of Ceylon, Hyde Park Branch. Account Number 0002327056.
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I hereby certify that all information furnished by me in this application are true and accurate to the best of my knowledge. I understand that providing any false information is leading to the rejection of the application. I also understand that if any or part of the information provided herein will be found false at a subsequent stage, such may cause the cancellation of the relevant Membership offered to me. I hereby abide by the governing rules and regulations of the institute and admit that the decision of the Executive Council, without any prejudice, related to this application is final.

ITPSL