Select Branch BranchIRI, Kolkata BranchIRI, Delhi BranchIRI, Mumbai BranchIRI, Chennai BranchIRI, Rajasthan BranchIRI, Karnataka BranchIRI, Kerala BranchIRI, Gujarat Branch Grade Ordinary Member Your Name (IN BLOCK LETTER) Father's Name Date of Birth Gender Male Female Blood Group [Example: A+ve, A-ve, B+ve etc.] Select image to upload: [Maximum File Size: 30KB] Select signature to upload: [Max. height: 61px, Max. width: 253px] Address For Communication Residence Phone Number [Land] Mobile Number [add 91] Personal Email Address Marital Status Single Married Nationality Academic/ Professional Qualification (School/College) Examination Passed Year of passing Board/ Council/ University Subject Taken % of Marks Obtained Grade/ Class/ Division Extra Curricular Activities Working Experience (Previous & Present) Name and Address of the Organization Position Held From To Current Area of Working TYRE NON-TYRE *Eligibility DIRI is 12th Science (Phy.,Che & Math)/LME/LEE/LCHE/B.Sc with Chemistry & PGD-IRI is B.Sc (Phy., Che & Math)/B.Sc (Phy., Che., Biology/Botany)/B.Tech/BE/M.Sc(Che) Select Course select For Candidates interested in appearing for exam For Candidates not eligible for appearing in examination select DIRI PGDIRI select I want Membership + I want to Study I want Membership only Draft Number / Cheque Number / Transaction Id Declaration I here by declare that all the information given above are true to my knowledge. Further if admitted, I shall abide by the rules and regulations of the Institute as may be in force from time to time/ I, the undersigned, undertake that in the event of my election to Ordinary Membership of Indian Rubber Institute, and as long as I retain my Membership, I will observe the Article and Bye-Law as they now are or as they may here after be amended and I will do my utmost to promote the well-being and furthur the objects of the Institute. Type the numbers for security purpose
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I here by declare that all the information given above are true to my knowledge. Further if admitted, I shall abide by the rules and regulations of the Institute as may be in force from time to time/ I, the undersigned, undertake that in the event of my election to Ordinary Membership of Indian Rubber Institute, and as long as I retain my Membership, I will observe the Article and Bye-Law as they now are or as they may here after be amended and I will do my utmost to promote the well-being and furthur the objects of the Institute.