IITBAA Life Membership Application

Fields marked with * are required inputs.

In case you already have a User ID at the IITbombay.org website, then you can login (here) with that user ID and password. This will save you data-entry effort, as many fields will automatically get filled from that site.

Personal Information

Title
First Name* Last Name*
Middle Initial/Name Nick Name
DOB* Primary Email*

Permanent Address

Street Address* Lankmark
City* State*
Postal Code* Country*
Phone* Fax
Mobile

Mailing Address, Copy Permanent address (copy if same as permanent address)

Street Address Landmark
City State
Postal Code Country
Phone Fax

Professional Information

Company Job Title
Street Address Landmark
City State
Postal Code Country
Phone Fax
Email

I.I.T. Bombay Information (Atleast one required)

*Degree *Department *Joining Year *Graduation Year *Hostel

Please ensure that the file size does not exceed 100KB.

Your photograph and signature are needed for printing on the life-membership i-card.

(Fundamatics subscription scheme is currently available to Indian residents only.)

Fundamatics subscription.
Payment Method*
Amount (with 15% Service Tax)
Rs 3450.00

Life Membership fee is Rs. 3000 plus service tax as applicable on the date of receipt. Currently, service tax is 14% + Swach Bharat cess of 0.5% + Krishi Kalyan cess of 0.5% (i.e 15% in all); thus gross amount payable is Rs. 3450.