THE ASSOCIATION OF CHEMICAL TECHNOLOGISTS (INDIA)
C/6, 1st Floor, Ashmi Flats, Opp. Memnagar Fire Station, Navrangpura, AHMEDABAD –380 009, INDIA.
Phone : 079-26420059 E-mail : firstname.lastname@example.org
(Regd.. Trust No. F-221 Ahmedabad)
APPLICATION FORM FOR MEMBERSHIP
Please enroll me as Individual Member/Institutional member of The Association of Chemical Technologists (India). I/We being aware of
the aims and objectives of the Association, hereby agree to comply with the clauses laid down in its constitution. (Pl. read the Rules &
Regulation on reverse side of this form) (Strike out whichever not necessary in case of Institutional membership)