Registration Form

REGISTRATION FORM

Please fill in the registration form if you would like to register yourself as a member of KEA. Please remember to send a cheque / draft of Rs. 1,500 (Life Membership) on behalf of 'Kerala Engineers Association, Mumbai' as soon as you have filled up this form. Only after receiving the requisite amount will you become a full-fledged member of KEA.

The amount of Rs. 1,500 is only for the millennium year, after which the life membership fee would rise to Rs. 2500. Please avail of this offer as soon as possible.

Eligibility: All Engineers having their origin in Kerala.

NRI Engineers can become honorary members by paying the life membership.

Please click here if you would like to download the registration form.

Name:
College, Batch, Branch:
Designation:
Office Address, Telephone, Email Address :
Residence Address, Telephone, Email Address:
Additional Qualification:
Specialization:
Experience:
Hobbies:
Date of Birth:
Name of Spouse:
Marriage Date:
If spouse is an engineer, please complete the following:
College, Batch, Branch:
Designation:
Office Address, Telephone, Email Address:
Additional Qualification:
Specialization:
Experience:
Hobbies:
Date of Birth:
Children:
Name	Education or Employment Details	Date of Birth



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