Indian Dairy Association
IDA House, Sector IV, R.K. Puram, N. Delhi-22
Phones: 26182454, 26179781, 26165355 Fax: 26174719 Please
E-mail:
[email protected]/
[email protected] affix your
Web: www.indairyasso.org photograph
APPLICATION FORM FOR STUDENT MEMBERSHIP
(FOR INDIAN CITIZEN)
Title Mr./Ms/Dr.
1. Name of Applicant First Name
(in capital letters)
Middle Name
Last Name
2. College Address
Pin Code
Residential Address
Pin Code
Mailing Address: College Residence
Contact Details Phone_______________________ Mobile_________________________
E-mail_______________________________________________________
3. Qualifications Degree/Diploma University/Institution Years Awarded
4. Present Status Course Year
5. Date of Birth
Day Month Year
6. Post- graduate Student Under-graduate Student (Please Send a Proof of Studentship)
Declaration:The above information is true to the best of my knowledge and belief. If admitted to the Association I
undertake to abide by the Constitution of the Association as contained therein or as amended
Date: (Signature of the applicant)
7. Eligibility Criteria:
Any person who is a student for diploma or bachelor's degree in any stream of dairy science and not employed
by any organisation or drawing any salary, is eligible for under-graduate student membership.
Any person who is a student for post-graduate or Doctorate Programme in any stream of dairy science and not
employed by any organisation or drawing any salary is eligible for student membership.
8. The application form should be duly filled and returned to the concerned zone (detail mentioned overleaf*) of
Indian Dairy Association along with the initial membership fee, paid by a Bank Draft / Cheque at par only. The fee
mentioned here under is for one year i.e. April to March, the members will have to apply for renewal every year.
DD No. Date Name of the Bank
STUDENT UNDER-GRADUATE MEMBERSHIP FEE Rs. 150/-
STUDENT POST-GRADUATE MEMBERSHIP FEE Rs. 300/-
P.T.O.
* South Zone: The Secretary, IDA (SZ), IDA House, NDRI Campus, Adugodi, Bangalore-560 030. Ph.: 080-25710661
Fax: 080-25710161. West Zone: The Secretary, IDA (WZ), c/o. NDDB, Unit 12, Aarey Milk Colony, P.B. No.9074,
Goregaon (East) Mumbai - 400063 Phones: 26856678, 26856689 Fax: 022-26856145, North Zone : The Secretary, IDA
(NZ), IDA House, Sector IV, R.K. Puram, New Delhi - 110 022 Phones: 011-26170781, 26165355. East Zone : The
Secretary, IDA (EZ), c/o NDDB, Block-DK, Sector-II, Salt Lake City, Kolkata-700 091 Phones: 033-23591884-7.