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Membership Form

Name of Institute / Organisation:
Name of Head of the Institute / Organisation:
Designation
Qualifications of Head of the Institute / Organisation
Address
State
Pin Code
Country
URL of Institute / Organisation
Phone
Country Code Area Code Number
Fax
Country Code Area Code Number
Email
Year of Establishment of the Institute / Organisation
Please quote your FICCI Membership Number if your institution / organisation is a FICCI member:
Please identify the type of membership you are applying for:
Active Membership (valid only for Higher Education Institutions / Universities)
Associate Membership (valid for organisations providing support services to the higher education sector or interested in contributing to the development of the higher education sector and FICCI - HEN)
Note: Please attach separate sheet if required to ensure all questions in the Registration Form are answered satisfactorily.
  • Please provide complete postal address and not Post Box address.
  • Please provide with email address which is accessed directly by the Head of the Institute.
1. Please specify the 'Mission' of the Institute / Organisation:
2. Please provide a brief description of the management of the Institute / Organisation:

Please continue if you are an educational institution or if you have an educational institution associated with your organisation, if not please skip to section 6.
Status of the Institute (please tick the appropriate response)
Deemed University
Private University
Public University
Not a University but Affiliated to University
Private Institute
Courses Accredited by (please tick the appropriate response)
NAAC  
NBA  
SAQS  
Other (Please specify)
6. Please provide a 'letter of intent' explaining why the institute / organisation would like to be a member of FICCI - HEN (the 'Network'), how it upholds the Code of Conduct and the Disclosure Norms of the 'Network' and how it can contribute to the development of the 'Network'. The statement should be no more than one (1) page in length.
7. Please provide a brief profile of the institution / organisation which may be uploaded onto the FICCI - HEN website. The profile should be no more than two hundred (200) words in length.
Statement by Institute:

We acknowledge that we have gone through the Code of Conduct, Disclosure Norms and Membership Norms of the 'Network' and agree to abide by them in letter and spirit.

Please find the payment of (Please tick the appropriate payment option(s)):
One off non - refundable registration fee of Rs. 15,000/-
(Waived off for FICCI Members only)
Annual Subscription fee of Rs. 10,000/-
Mode of Payment: DD/Cheque  Credit Card

 

 

 

Please download this form and send to:

Education Division
Federation of Indian Chambers of Commerce & Industry (FICCI)
Federation House, Tansen Marg
New Delhi - 110 001
INDIA.

Or
Email us at education@ficci.com
The form is also available online at www.ficci-hen.com

 

Disclaimer:
Information on this website is intended to provide only a general outline of the subjects covered. It should neither be regarded as comprehensive nor sufficient for making decisions, nor should it be used in place of professional advice. FICCI, FICCI Education Division or FICCI - HEN accepts no responsibility from loss arising from any action taken or not taken by anyone using this website.

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