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APPLICATION FORM FOR LIFE MEMBERSHIP

(Note : Please read instructions overleaf carefully before filling up the form)

To,
The President,

Practising Engineers Architects and Town Planners Association (India)
Unit No. A-103, 1st Floor, New Udyog Mandir No. 2,
Behind Johnson & Johnson, 7-C, Mogul Lane, Mahim (W), Mumbai - 400 016.

I the undersigned, would like to get enrolled as Life Member of PEATA (I). I promise, if enrolled, will abide by and observe the provisions of the constitution in force and that I will promote the objects of the Association as far as may be in my power. I enclose herewith necessary documents listed below along with a cash/cheque for Rs. /- in favour of PEATA (I)
towards following :-

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