Membership Subscription Form
Membership Sought :
Name :
Institution where working/ studying :
Address for communication :
State :
Pincode :
Telephone :
Mobile :
Email* :
Type Of Membership :
Type Of Subscription :
Amount :
Mode of Payment :
Joining Date ( DD/MM/YYYY ) :



  1. Please send your subscription by DD in favour of ELTAI with your postal address and email id for communication to our office by Speed post or courier.
    Payment may also be made through transfer of money from your bank account to ELTAI account at the State Bank of India at Chennai.

  2. Details of our SB account at the SBI,
    SBI, Shanthi Colony, Annanagar, Chennai-600040.
    A/C No. 30870397943
    IFSC Code : SBIN.0002196
    MICR 600002005

  3. Membership is valid from the date of receipt of the subscription at the office for the period desired.

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