Inst In stitu itute te of In Indi dian an In Inter terior ior De Desi signe gners rs,, 10 109-S 9-Sum umer er Ke Kend ndra ra,, Pa Pand ndur uran ang g Bu Budhk dhkar ar Ma Marg rg,, Worli, Mumbai 400018. Tel : 022-24950653, Email :
[email protected] Web : www.iiid.net.in
Membership Members hip Applic Application ation Form Name* : Mr. / Ms.
First Name
Photograph
Middle Name
Firm/ORG/Institute :
Surname
Year of Estb : Date of Birth* :
Designation :
D
D
M
M
Y
Y
Y
Y Tick Any One
Address* :
City* :
1 2 3 4 5 6 7 8
Pin* :
State :
Phone 1* :
CHAPTER / CENTRE Ahmednagar (2011) ar t (1997) Kolhapur h s (1999) Mumbai ar (1997) Nagpur a h (1991) Nashik a (1988) M Pune : (2012) l Satara ar (2010) Thane t
n
Mobile* :
e C
OFF. / RESI.
Phone 2 :
Web Page :
OFF. / RESI.
Email 1* :
Email 2 :
EDUCATIONAL EDUCA TIONAL QUALIFICA QUALIFICATIONS TIONS* (Kindly Attatch Attested Certificates) INSTITUTE / UNIVERSITY
CITY
COURSE* DURATION QUALIFICATION
YEAR OF GRADUATION
9 10 11 12 13 14
Ahmedabad Bharuch Charotar Saurashtra Surat Vadodara
(2003)
t ar
(2009) (2009)
aj
(2007)
G
u
(1999)
:
(1997)
s
t e W
15 16 17 18 19
Bhopal Indore Jaipur Lucknow New Delhi
(2012)
20 21 22 23
Hyderabad Kolkata Raipur Vizag
(1996)
24 25 26 27 28
Bangalore Chennai Coimbatore Goa Kerala
(2008) (2008)
ht r
(2009)
o
(2004)
N
WORK EXPERIENCE : ORGANISATION
Present Status* :
POSITION
Self Employed
YEAR
Employed
I, the unders rsiigned, hereby apply for II IIIID me mem mbership, aft fte er having read and understood the Memorandum & Articies of Association and The Code of Conduct of IIID. Upon becoming a member, I agree to abide by the same and I have no objection if IIID shares the information cont co ntai aine ned d in th this is fo form rm th thro roug ugh h an any y we webs bsit ite, e, di dire rect ctor ory y, in inte tern rnet et or an any y ot othe herr me medi dia, a, in an any y fo form rmat at.. I hereby declare that all the information given on this form and in all the submitted material is true.
Payment Enclosed :
DD / Cheque No. :
TickAny One
Date :
REFERRED BY :
Name
Membership No.
Signature
Chairperson / Chairperson Elect* Managing Committee Member
a E
(1994) (1999) (2008) (2003)
ht
(2003)
o
u S
MEMBERSHIP MEMBERSH IP CA CATEGOR TEGORY Y Associate Life Member Associate Member Trade Member (Firm) Trade Life (Individual) Licentiate Member Affiliate Member Student Member
ALM AM TR TLM LCM AFF SM
DURATION One Ye Year ar Three Yea Years rs Five Ye Years ars Life Membership
IIID Member
FOR OFFICE USE DD
s
(2012)
Dated :
Bank : Signature :
t
(2010)
( In Favour of “IIID”, payable at Mumbai )
Amount :
RECEIVED PA PAYMENT YMENT :
(2006)
CHEQUE
EXECUTIVE COMMITTEE MEETING : DATE
NO. APPROVED
DATED : DISAPPROVED
NOMINATED MEMBERSHIP CATEGORY (Through Recomendation) Education Member Press Member
EDM PM
MEMBERSHIP MEMBE RSHIP NUMBE NUMBER R
SIGNATURE : Chairman - Scrutiny Committee
Data Entry done by :
ASSOCIATE, LICENTIATE & AFFILIATE MEMBERS
TRADE MEMBERS
ENCLOSURE CHECK LIST
TRADER MANUFACTURER SERVICE PROVIDER
GENERAL PRACTICE PROFILE Architecture
For ASSOCIATE, LICENTIATE & AFFILIATE members Graduation Certificate *
Product / Service Profile
Interior Design Product Design Graphic Design Lighting Design Academics
Experience Certificate (Not for Licentiate)
Architectural Hardware
Brief Work Profile
Air-Conditioning
Visiting Card
Artefacts & Accessories
Colour Photograph (self) *
Audio-Visual Solutions
Cheque / DD. *
Contractor or Turn-Key Solutions
Green Building Consultant
For TRADE members
Electrical & Lighting solutions Furnishings
Trade Registration With Local Authority / Company*
Flooring
Product Brochure
Furniture Manufacturer
Brief Work Profile
Glass & Glazing Solutions
Visiting Card *
Freelance
Kitchen Manufacturer
Colour Photograph (self) *
Proprietorship Firm
Natural Stone
Cheque / DD. *
Partnership Firm
Paints & Construction Chemicals
Private Limited Company
Plumbing Services
Public Limited Company
Tiles & Sanitary Ware
College ID Card / Bonafide Student Certificate *
Educational Institute
Wood, Plywood, Laminates
Colour Photograph (self) *
Any Other
Any Other
Cheque / DD. *
Utilities Consultant Any Other
FIRM PROFILE
MEMBERSHIP CATEGORIES & ELIGIBILITY ASSOCIATE MEMBERSHIP : Degreein Architecture(Approvedby anyrecognized University / Councilof Architecture/ TheIIA) or InteriorDesignCourseApprovedby IIID orDegree / Diploma Coursein InteriorDesign(Approved bya Recognized University / State Technical Education Board) with not less then one year full time experience inthe fieldof InteriorDesignforall theabove exceptthree yearsfulltime experience inthe fieldof InteriorDesign incaseof a Diploma Coursein InteriorDesign.
For STUDENT members
SUBSCRIPTION FEES Duration Fees Entrance Fees Service Tax
Total
1 Year
1000
500
210
1710
3 Year
2790
500
460
3750
5 Year
4500
500
700
5700
20000
500
2870
23370
RIGHTS& PRIVILEGES : Associatemembers shall have full votingprivileges,shallbe eligible foroffice & forservice onall committees& canuse thedesignationAIIID aftertheirname.
ASSOCIATE LIFE MEMBERSHIP : Same as ASSOCIATE membership category. RIGHTS & PRIVILEGES : Same as ASSOCIATE membership category.
Life
LICENTIATEMEMBERSHIP: Same a s ASSOCIATE M emb ersh ip c atego ry b ut w ithou t req uisite e xperience i n Interior d esign .
1 Year
700
500
168
1370
1 Year
1000
500
210
1710
3 Year
2790
500
460
3750
5 Year
4500
500
700
5700
1 Year
2000
500
350
2850
RIGHTS& PRIVILEGES : Licentiate members have novoting rightscan only serve onany sub-committee at National / Chapter / Centrelevel.Shall beeligiblefor upgradation toassociatecategoryon gaining requisiteexperience.
AFFILIATE MEMBERSHIP : For individuals engaged in the practice of Interior Design but do not qualify under ASSOCIATE categoryor whoare involvedin orassociated with Interior Designfield, such asexecutivesin firmsof Interior Designers, Interior Decorators, Furnishing Contractors, Furniture Makers, Graphic & ProductDesigners, Architectsnot Practicingas Interior Designers,LandscapeArchitects, Industrial Designers, Artists, Craftsmen, Interior/Architectural Photographers, Civil/Mechanical/Electrical or ElectronicsEngineers planning or executingjobs of InteriorDecoration. RIGHTS& PRIVILEGES : AffiliateMembers have novotingrights & canonlyserve onany sub-committee at National / Chapter / Centre Level.
TRADEMEMBERSHIP : (FIRMOR COMPANY) Firms or Companies involved in manufacturing or selling Products or services required for Interior Decoration or furbishing or firms executing Interior jobs as contractors. The firm or company shall nominate one person who shallrepresent the saidfirm.
3 Year
5580
500
852
6940
RIGHTS & PRIVILEGES : Nominee of trade-member shall have full voting privileges and shall be eligible for office other than of President and President Elect in Executive Committee but can serve as a member in the Executive Committeesimilarlythe nominee shallbe eligible for office otherthan thatof Chapter/Centre Chairman and Chairman Electin theManagingCommittee butcan servein theManagingCommittee.
5 Year
9000
500
1330
10830
TRADE LIFEMEMBERSHIP : (INDIVIDUAL) Only Trade Membership, in thename of a ‘Person’(Individual), will be eligible for life membership, in Tradecategory.
Life
35000
500
4970
40470
300
50
49
400
RIGHTS & PRIVILEGES: Sameas rights & privilegesas of TRADEmembership.
STUDENTMEMBERSHIP: Any individual who is receiving Education in Interior Design, Architecture, Industrial Design, Fine Arts, AppliedArts leading to a Degree or Diploma. Only Final Year students shall be eligible forthis membership,whichwillbe ofone year only.
1 Year
RIGHTS & PRIVILEGES: Student members shallhave novoting rights andcan onlyserve onany sub-committee.
All the above mentioned fees valid upto March 31, 2014 only
In Addition to above Membership Categories, IIID Recognises special nominated Memberships as Fellow, Education, Press and Honorary. 1. Cheques or DD should be drawn in favour of “IIID and payable at par at Mumbai. Add Rs. 30=00 for Outstation Cheques. 2. Membership validity is from 1st April to 31st March. Subscriptions become due on 1st April every year. 3. Completed Application Forms should be sent to IIID HO, at Mumbai, after due verification from respective Chapter/Centre. Regions/Cities not having a Centre or Chapter, may send completed application form to IIID HO directly. 4. IIID Executive Commitee reserves the right to reject any application or change Membership Category on the basis of qualification criteria, or otherwise. “
Institute of Indian Interior Designers, 109-Sumer Kendra, Pandurang Budhkar Marg, Worli, Mumbai 400018. Tel : 022-24950653, Email :
[email protected] Web : www.iiid.net.in
