INDIAN ASSOCIATION FOR PRODUCTIVITY, QUALITY & RELIABILITY
( Affiliated to the International Statistical Institute )
Address: AD-276, Sector - I, Salt Lake City, Kolkata 700 064.
Phone No.: 91-33-2334 6234/3 (12 Noon - 7 p.m.);
Telefax: 91-33-2334 6234
Email: iapqr@yahoo.co.in
Application for Admission to Membership

I have gone through the rules and regulations of your society and being interested/ involved in the quality Movement in India, desire to be enrolled as an individual (anual/life)member of society. My particulars are given below. The required fee

Annual Member: Rs.250 per annum(India);US Dollars 15(Foreign)
Life Member : Rs.5,000 (India);US Dollars 150(Foreign)[one time]

is being sent in cash/M.O./byD.D.


1. Name:

2. Address:  a)Office

b)Residence

Telephone No.   a) Office: ______________ b) Residence:_____________

3. Occupation (with designation):

4. Qualification (with Specialisation):
Date:  _________________  
Place: _________________ _________________________________ Signature

Proposed By: Name:  __________________ Dated Signature: __________
Seconded By: Name: __________________ Dated Signature: __________
For Office Use only

Application i)  received on _____________________________________

ii) placed before the Board of Governors on______________

MemberShip No. ________________ Membership intimated on _________