APPLICATION FOR PROFESSIONAL AND INDIVIDUAL MEMBERSHIP
1.
Full Name:
2.
Date of Birth:
/
/
3.
Sex:
MaleFemale
4.
Address:
Residence
Office
5.
Telephone No:
-
-
6.
Email:
7.
Type of Membership applied For:
IndividualProfessionalLife
8.
If you are already a member of any LMA, Please give details:
Name of LMA:
Membership No.:
9.
Employment details:
Title
Organization
Year
Duration
10.
If you have made any significant contribution to the management proffesion, please give details (If needed, please attach scanned copy of files )
11.
Research work/ Publication:
No. of Papers Published:
No. of Books Published:
Details of Research Work done:
12.
Educational Qualifications:
Programme of Study
Institution
Year of Passing
13.
Reference:
Please give names and addresses of two person for references, one of whom may be your superior and another a member of CMA
14.
Declaration by the Applicant:
I declare that all the statments made in this application are true to the best of my knowledge and belief. I hereby agree to abide by the rules and regulations of Calicut Managment Association as they are altered from time to time.
