Registered under Societies Registration Act No.21 of 1860

Membership Form
*Compulsory

Eligibility Criteria

ON LINE REGISTRATION

All fields marked * are mandatory.

Occupation Engineer Scientist Doctor

Name*

Date of Birth *

Day MonthYear

Blood Group*

Father's Name

Marital Status

Single Married

Spouse Name

Date of Birth of Spouse

Day MonthYear

Marriage Anniversary

DayMonth Year

Professional Qualification*

Particulars	Name of the Qualification

10.

Area of Specialisation*

11.

How would you like to be associated with TWSI? (Click one or more)
charitable purpose Yes No
Social Activities Yes No
Professional basis Yes No

12.

Whether wish to join professional purpose activities in scope of
Consultancy Yes No
Active Participation Yes No

13.

Present Address*

House No/Street
City
State
Country
Pin/Zip
Phone(with ISD & STD code)

14.

Permanent Residential Address*

House No/Street
City
State
Country
Pin/Zip
Phone(with ISD & STD code)

15.

E-mail*

(To be used as username later on for login)

16.

Organisation*

17.

Designation*

18.

Achivements/Awards

19.

Do you want your photograph to be displayed with your details
Yes No
If yes, please send your photograph with crossed demand draft of Rs.250/- in favour of Technocrats Welfare Society of India payable at Dehradun.

20..

Password*

21.

Re-enter password*

22.

Your Hobbies

23.

Submission date (Today's date)*

Free Medical Helpline

Designed & Hosted By

ON LINE REGISTRATION All fields marked * are mandatory.

ON LINE REGISTRATION

All fields marked * are mandatory.