THE GUJARAT INSTITUTE OF CIVIL ENGINEERS & ARCHITECTS

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MEMBERSHIP NO. Nirman Bhavan, Opp. Law Garden, Ellisbridge, Ahmedabad - 380 006. Phone : 26565935, Telefax : 079-26430213 E-mail : gicea2005india@yahoo.co.in www. gicea.org ESTD. : 1947 TM THE GUJARAT INSTITUTE OF CIVIL ENGINEERS & ARCHITECTS To, The Secretary, The Gujarat Institute of Civil Engineers & Architects Ahmedabad - 380 006. Sir, I/the undersigned hereby apply for membership of the above Institute. I have read the rules regulation and memorandum of the association and assure you to abide by them. My particulars are given hereunder. Yours Faithfully, Date : Signature of the Applicant Category of the membership applied : 1. Fellow Life Member 2. Patron Member We, the undersigned, members of this Institute, know the applicant and certify that he/she possesses qualifications prescribed by the Institute. Name & Membership No. Signature 1. 2. MEMBERSHIP FEES : The entrance fees, the annual subscription fees, Life membership fees, payable by the various classes of members, shall be as shown in the following table : Sr.# Class of Membership Ent. Annual Life Mem. Service Total Rs. Fees Rs. Subs. Rs. Fees Rs. Tax 1. Fellow Life Member 1000/- - - - - 10,000/- 12.36% 12,360/- 2. Patron Member - - - - - - - - 1,00,000/- 12.36% 1,12,360/- F/ADM/01 RCV:00 18-7-11

(1) Full Name : (2) Residential Address : Surname First Name Second Name (3) Office Address : (4) Telephone Numbers : (O) (R) (M) (5) Correspondence Preferred at Residence Office (6) Date of Birth : (7) Educational achievements (Attach True Copy of the Certificates) Diploma/Degree Institute Year Grade (8) Professional or Academic Career, starting with present occupation on top. Period From To Designation Company / Role / Duties Please attach extra sheet, if required. Signature FOR OFFICE USE Rs. received by Cash/Cheque Receipt No. Date (Membership approved by the Managing Committee in the meeting held on )

Nirman Bhavan, Opp. Law Garden, Ellisbridge, Ahmedabad - 380 006. Phone : (079) 26565935, Telefax : (079) 26430213 E-mail : gicea2005india@yahoo.co.in www. gicea.com ESTD. : 1947 THE GUJARAT INSTITUTE OF CIVIL ENGINEERS & ARCHITECTS New Directory Form Membership Category : (Please ) P M F L M A S L M I M Membership No : Name of Member : Surname Name Father s / Husband s Name Name of Spouse : Surname Name Father s / Husband s Name Social Security Scheme Number : Member : Spouse : Date of Birth: Member : Spouse : Blood Group : Member : Spouse : Qualification of Member: Profession of Member: Service Self Employed Name & Address of Member s: Office / Dept. : Designation : Phone : Mobile : Residence Address : Pincode : Pincode : Phone : Mobile : Email : Website : Any other Membership : A) Association / NGO 1. 2. 3. B) Club 1. 2. 3. Signature of Member

1. The Society shall be called The Gujarat Institute of Civil Engineers & Architects. 2. The Registered office of the Institute will be in Ahmedabad. 3. The Object of the Institute are : 1. MEMBERSHIP :: OBJECT :: (a) To provide facilities in Civil Engineering & Architecture including Irrigation Engineering. Municipal Engineering, Highways and Road Engineering, Town Planning, Hydro-Electrical Engineering, Surveying and such other professions allied to Civil Engineering for further studies, research and of mutual consultation and contact. (b) To hold periodical lectures, discourses, demonstrations, exhibitions, conferences and such other activities to impart specialised knowledge, and to disseminate general knowledge themselves for any special purpose. (c) To make provision for imparting instructions in Civil Engineering and allied subjects to those who require it for qualifying themselves for any special purpose. (d) To start magazines and periodicals and to publish papers to further the aims and objects of the Institute. (e) To collaborate with the departments of the Governments, Local Authorities and such other Institutions in the matters concerning the profession of Civil engineering with a view to take active interest in the engineering problems concerning the welfare of the community. (f) Part-II MEMORANDUM OF ASSOCIATION To initiate or collaborate with the activity which is in the common interest of the fraternity of Civil Engineers & Architect, in specific, and of the rest of the technical fields, in general. (g) To raise loan, accept grant, subsidy from the Govt., Semi Govt., Banking Institution, Financial Institution, Private Companies, Individuals for furthering the aims of the Institutes like education, welfare of members and their families, cultural activities, public activities and such other related development and welfare purposes. (h) To perform all acts, those are deemed fit by the Managing Committee. Part-II Rules & Regulations The Institute shall consist of Honourable Members, Patrons, Fellow Members, Associate Members, Institutional Members, Nominal Members, Nonresident Members, and NRI Members. 1.1 Members of above classes except patrons, associate, nominal members subscribing life compounding fees shall be known as life members of respective classes. 1.2 All fellow members will be enrolled from the members of the profession of Civil Engineering, Environmental Engineering, Architecture and shall possess degree or diploma recognised by the Director of Technical Education Board of any State/AICTE (All India Council of Technical Education) and/or equivalent qualification or membership of recognised Institutes. 1.3 Ordinary members, herebefore will be known as Fellow members.

1.4 Any firm or company dealing with building and structural materials and/or other allied materials, as traders or their manufacturer and/or dealing with construction work shall be eligible for becoming Associate life member, if so approved by the Managing Committee. Such firm or company accepted as Associate member shall name one of its Directors/Partners/Proprietor as its representative who will enjoy all the rights and privileges of the Membership of the Associate class. Except the right of membership of Social Security Scheme of GICEA. 1.5 Deleted 1.6 Any Institution or Association operating in the union territories of India, whose aims and objects are similar or identical to those of our Institution shall be eligible to become Institutional member. An institutional member shall be represented by current President of such Institution/Association and will enjoy all rights and privileges of Institutional Member class. 1.7 Any member of such Institution will be considered as Nominal member on payment of subscription as provided in rule No. 2-1. Such a member will not be served any circular and shall have no right except expressly specified. 1.8 Any person who has completed 40 years age, who possesses qualification as per clause 1.2 who is actively associated with the profession connected with Civil Engineers & Architectural field, who has made and who is making remarkable contribution in the Civil Engineering & Architectural field and who has carved out a position for himself in the society and whose inclusion in the category of patron of the Institute enhances the prestige of Institute may be included in the category of the patron member by the Managing Committee on receipt of an application in the prescribed form along with fees and a detailed resume. A Fellow Life Member on attaining an age of 40 years can apply for Patron Membership if he feels; he satisfies the criteria stated above. Payment of fees will not be the only criteria to obtain Patron Membership. Decision of the Managing Committee in this matter will be final and binding. While rejecting application of any member, the Managing Committee will not give reasons for its decision. 1.9 Any outstanding Personality selected by the Managing Committee, based on his contribution in the field of work can be selected as Honourable member. Such member shall not have to pay any subscription. 1.10 Any person who possesses the requisite qualification to be a fellow member or associate member and is eligible to obtain membership, and ordinarily residing/living outside the State of Gujarat will be known as Non-Resident member of such class to which he/she is attached. 1.10 (a) Any person of Indian origin residing abroad and who possesses the requisite qualification to be a Fellow Member as per the provision of the rule 1.2 of part II will be known as NRI member. 1.11 Any person or a firm or Institution wishing to be a member of the Institute of any class except honourable member shall submit an application on the prescribed form duly supported and recommended by two members of the Institute alongwith the fees. Only on approval of the application by the Managing Committee such person/firm/institution shall be admitted as a member of the Institute. 1.12 Any person who is of unsound mind or who is an undischarged insolvent or proved guilty of professional conduct or carries any activity against or detrimental to the Institute or it's reputation or is prima-facie found responsible for miss-appropriation of Institution funds or property shall not be entitiled to be enrolled or continued as member of the Institute. Special Note :- PM/FLM members and members of other categories of GICEA will be eligible to be a member of Social Security Scheme of GICEA as per the Constitution & byelaws of Social Security Scheme of GICEA in force time to time.

MEMBERSHIP NO: DATE OF BIRTH: BLOOD GROUP: PHONE OFF.: PHONE RES.: (FILL THE DETAILS IN ENGLISH BLOCK LETTERS) SURNAME: NAME: FATHER S / HUSBAND NAME: ADDRESS: MOBILE: CITY: PINCODE: Paste Recent Passport size Photocopy here