The Indian Institute of Architects: Application For Election As Associate Member of Iia
The Indian Institute of Architects: Application For Election As Associate Member of Iia
5th fl, Prospect Chambers Annexe, Dr. D.N. Road, Fort, Mumbai-400001, INDIA
Tel: +91 22 22046972, Fax: +91 22 22832516, email: [email protected]
Dear Sir,
Personal Information:
Name (As appearing on my graduation certificate):
First Name
Middle Name
Last Name
(In case of change of my name I shall attach the necessary legal documents, as required by IIA.)
Email_1:
Res. Address
B. Arch or equivalent
Course Duration: yrs
Joining
Passing
Date: Place:_______________
Applicant’s Signature
Endorsements: My application is duly endorsed by three Members of IIA out of which one is a Fellow Member as below:
We are acquainted with Mr./Mrs./Miss ………………………………………………………………………and
from our personal knowledge of him/her, we propose him/her for election as an Associate Member of IIA.
2. Ar.
A Sign …………………….
3. Ar.
A Sign …………………….