I want to join SAEINDIA and take advantage of all the member benefits

SAEINDIA STUDENT MEMBERSHIP APPLICATION

SPONSOR The Engineering Society
For Advancing Mobility
(SAEINDIA MEMBER OR HOD of the College) Land Sea Air and Space
Name : SAEINDIA Office :
ANIL KUMAR GILLAWAT No 1/17Ceebros Arcade, 3rd Cross,
Kasturba Nagar, Chennai -600020
Membership No. 7140512123 Telefax: 91-44-24411904
Head of Department, ME Phone : 91-44-42152280
Designation :
E-mail : fathima@saeindia.org; shiny@saeindia.org
Please Type Or write clearly in Bold
Student Details :
Middle Initial
First Name Last Name
(Ignore if not applicable)

Age: Date of Birth : Date Month Year Sex : Male / Female

Name for Communication : E-mail Address :

Educational Record
College Name:

Degree : Major :
( B.E/B.Tech/B.Sc Engg/M.E./PhD /Others) Specify ( Mechanical / Automobile / ECE / EEE / Others) Specify

Course Commencement Date : Completion Date : Year of Study I / II /III / IV :

Home Address : (Block Letters) College Address : (Block Letters)

City : State : City : State :

PIN : Telephone No: PIN : Telephone No:

Mob No: E-Mail ID :

My preferred mailing address Home / College :

Payment Details
Amount in Rs.: DD No. / Chq. No.: Date:

Bank: Branch:

Date : Signature :

Membership Eligibility: Applicants must be students leading in any bachelor, masters, or doctoral in engineering technology.
Membership Services: Through SAEINDIA student membership, students can enjoy many of the services made available to SAEINDIAs regular members. Further,
SAEINDIA Collegiate Clubs offer student members organized programs, design competition, networking opportunities with Industry leaders and leadership experience.
SAEINDIA Student members will receive Automotive and Engineering magazines online FREE. The online magazines offer the same great technical content and
additional features in a searchable PDF format. Archived issues are also available.
SAEINDIA Student: Members now get online access to update.
Student Members will be provided with I.D. and Password.
Membership year for new enrolment is April 1st to March 31st : Student applications received Jan' 1st through College Seal:
March 31st will be held for the next membership year beginning April 1st, if not stated implicitly.
Membership year for new enrolment is April 1st March 31st
1st Year Student 400 x 4 + 500 = Rs.2100/- + Rs.315/- (15.00% Service Tax) = Rs.2415/-
Signature of the faculty advisor / HOD
2nd Year Student 400 x 3 + 600 = Rs.1800/- + Rs.270/- (15.00% Service Tax) = Rs.2070/- COMPULSORY FOR SUPRA
3rd Year Student 400 x 2 + 700 = Rs.1500/- + Rs.225/- (15.00% Service Tax) = Rs.1725/- AND BAJA
4th Year Student 400 x 1 + 800 = Rs.1200/- + Rs.180/- (15.00% service tax) = Rs.1380/- Name of the faculty adviser / HOD
SAEINDIA Collegiate Club
For Annual Membership Rs.400/- + Rs.60/- (15% service tax) = Rs.460/-
Payment to SAEINDIA are payable in Chennai by DD or Cheque only.