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

SAEINDIA STUDENT MEMBERSHIP APPLICATION

SPONSOR
(SAEINDIA MEMBER OR HOD of the College)

The Engineering Society

For Advancing Mobility
Land Sea Air and Space

SAEINDIA Office :

Name :

No 1/17Ceebros Arcade, 3rd Cross,

Kasturba Nagar, Chennai -600020
Telefax: 91-44-24411904
Phone : 91-44-42152280
E-mail : hmc@saeindia.org , shiny@saeindia.org,

Membership No.
Designation :
Please Type Or write clearly in Bold

Student Details :
Middle Initial

First Name

Age:

Last Name

(Ignore if not applicable)

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)

City :

College Address : (Block Letters)

State :

PIN :

Telephone No:

Mob No:

City :

State :

PIN :

Telephone 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.
College Seal:
Membership year for new enrolment is April 1st to March 31st : Student applications received Jan' 1st through
March 31st will be held for the next membership year beginning April 1st, if not stated implicitly.

Membership year for new enrolment is April 1

st

March 31

st

1st Year Student 400 x 4 + 500 = Rs.2100/- + Rs.294/- (14.00% Service Tax) = Rs.2394/2nd Year Student 400 x 3 + 600 = Rs.1800/- + Rs.252/- (14.00% Service Tax) = Rs.2052/3rd Year Student 400 x 2 + 700 = Rs.1500/- + Rs.210/- (14.00% Service Tax) = Rs.1710/4th

Year Student 400 x 1 + 800 = Rs.1200/- + Rs.168/- (14.00% service tax) = Rs.1368/-

For Annual Membership Rs.400/- + Rs.56/- (14.00% service tax) = Rs.456/-

COMPULSORY FOR SUPRA

Signature of the faculty advisor / HOD

AND BAJA
Name of the faculty adviser / HOD
SAEINDIA Collegiate Club

payment to SAEINDIA are payable in Chennai by DD. Payment can also be remitted to any branch of ICICI Bank
in the name of SAEINDIA A/c. No : 000101202792, IFSC Code: ICIC0000001. Please enclose Xerox copy of the Challan Counterfoil with this application.