Membership Plan PlansDonor₹52,000.00 Rs. 2,000/- Admission Fee (Non Refundable) Rs. 50,000/- One Time Subscription (Non Refundable). Total Rs. 52,000/- Ordinary₹17,000.00 Rs. 2,000/- Admission Fee. Rs. 15,000/- Annual Subscription for Ten years @ Rs. 1500/- per year. Total Rs. 17,000/- Life Membership 60₹12,000.00 Rs. 2,000 Admission Fee Rs. 10,000 60 years and above Life Membership 50₹22,000.00 Rs. 2,000 Admission Fee Rs. 20,000 50 years to Less than 60 years Life Membership 40₹32,000.00 Rs. 2,000 Admission Fee Rs. 30,000 40 years to Less than 50 years Life Membership 20₹42,000.00 Rs. 2,000 Admission Fee Rs. 40,000 20 years to Less than 40 years NextPreviousPlease Signup*Profile Image * Drop file here or click to select.Drop file here or click to select.Please select file.Invalid file selected.Invalid file selected.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 :- PEATA Membership No.Text field can not be left blank.Please enter valid data.*First NameFirst Name can not be left blank.Please enter valid data.This first name is invalid. Please enter a valid first name.*Last NameLast Name can not be left blank.Please enter valid data.This last name is invalid. Please enter a valid last name.*Father/Husband's NameText field can not be left blank.Please enter valid data.Name of EstablishmentText field can not be left blank.Please enter valid data.ClassificationBuilder/DeveloperContractorManufacturerReal Estate ConsultantInterior DecoratorIndividualPlease check atleast one option.Please enter valid data.*DesignationProprietorPartnerAssociateDirectorPlease check atleast one option.Please enter valid data. Office addressThis Field can not be left blank.Please enter valid data. Residential addressThis Field can not be left blank.Please enter valid data.*Phone NoText field can not be left blank.Please enter valid data.Please enter at least 10 characters.Maximum 10 characters allowed.Please enter valid data.*Whatsapp No.Text field can not be left blank.Please enter valid data.*Email AddressEmail Address can not be left blank.Please enter valid email address.Please enter valid email address.This email is already registered, please choose another one.PasswordPassword can not be left blank.Please enter valid data.Please enter at least 6 characters.Strength: Very Weak*Date Of Birth * DD/MM/YYYYPlease select date.Invalid Date.*Age * In yearsText field can not be left blank.Please enter valid data.Please enter at least 2 characters.Maximum 2 characters allowed.Please enter valid data.Blood GroupText field can not be left blank.Please enter valid data.*PAN NoText field can not be left blank.Please enter valid data.*GSTIN NumberText field can not be left blank.Please enter valid data.Technical QualificationsText field can not be left blank.Please enter valid data.Number of years in Practice as Licenced Surveyor/Architect/Structural Engineer/Town Planner/Regd. Valuer/Landscape Architect/Interior Designer or any other related profession Text field can not be left blank.Please enter valid data.Years*Special field of Interest/ExpertiseText field can not be left blank.Please enter valid data.*Membership of any other Professional Societies / Association / Institution with Registration Nos.This Field can not be left blank.Please enter valid data.Registration Details : Surveyor / Structural Engineer's License, issued by Municipal Corporation of Gr. Mumbai OR any other please specify *License No.Text field can not be left blank.Please enter valid data.*Date * DD/MM/YYYYPlease select date.Invalid Date.Surveyor / Structural Engineer's License Drop file here or click to select.Drop file here or click to select.Please select file.Invalid file selected.Invalid file selected.OR Registration Certificate issued by, Council of Architecture - New Delhi. *Registration No.Text field can not be left blank.Please enter valid data.*Date * DD/MM/YYYYPlease select date.Invalid Date.Registration Certificate Drop file here or click to select.Drop file here or click to select.Please select file.Invalid file selected.Invalid file selected.Note : Attach attested copy of up to date valid, Surveyor's / Structural Engineer's License, issued by M.C.G.M. or any other / or Registration Certificate issued by the Council of Architecture - New Delhi. Done(Use Cropper to set image and use mouse scroller for zoom image.) 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