1

FOR ASSOCIATE

Sr. No. Membership

No. Name and Address

1. 2020-612

Tanvi Lalit East Indra Nagar, Road No-5, Kankarbagh Patna, Bihar 800020

2.

2020-613

Sowmya Ede WSP Consutants India Pvt Ltd., 11th floor, Mfar Manyata Tech. Park Greenheart Phase-IV, Embassy, Manyata Business Park, Nagavara, Bangalore 560045

3. 2020-614

Kritya Gangwar H-7, BDA Colony, Nr. Tibrinath Mandir, Bareilly UP 243122

4. 2020-615

Shivam Rohilla A-91, Nr. Signature Tower, Southcity 1, Gurgaon, Haryana 122007

5.

2020-616

Pretty Prakash Pretty Villa, Ihachankonam, Varkala, Thiruvananthapuram, Kerala 695741

6.

2020-617

Adhikarimayum Memthoibi Devi Harinath Road, Brahmapur Aribam Leikai, Imphal East, Manipur 795005

7.

2020-618

Narendra Bandaru D. NO. 3-108, Pthimmapuram Village Prorayavarmm, Pithapurammandal, East Godavari, Andhra Pradesh 533445

8. 2020-619

Rahul Jee H.No.398, Road No.4, Nehru Nagar, Patliputra, Patna 800013

9. 2020-620

Kartik Srivastava N10/60, F 10B, DLW New Colony, Kukarmutta Varanasi 221001

10.

2020-621

Sudeshna Guha Flat 3A, Titas Appt, 45, Hind Road, New Santoshpur Kolkata West Bengal 700075

11. 2020-622

Kundan Kunal Vill+PO Kulharia, PS Parbatta, Dist Khagaria, Bihar 851216

12. 2020-623

Mayank Kumar Poddar Nr. Town Hall, Darbhanga, Bihar 846004

2

13. 2020-624

Anand H.No.196, Sec 16, Hisar, Haryana 125001

14. 2020-625

Abhishek Kumar R.No. 4, Ph-II Balaji Nagar, Cotton Mill, Dist Gaya, Bihar 823001

15. 2020-626

Kumar Amal Vats Lal Nikunj, Ward No. 19, Statioin Road, Madhubani, Bihar 847211

16. 2020-627

Charu Plot NO. 228, Pkt.- A-3, Sector 5, Rohini, Delhi 110085

17.

2020-628

Smita Sunil Burrewar 266, Nirmala Apartments, Mohan Nagar, Nagpur, Maharashtra 440001

18.

2020-629

Archit Nishant Vishnubrij, Vrindavan Colony, Road No. 1D, AIIMS Road, Phuiwarisharif, Patna, Bhiar 801505

19.

2020-630

Abhishek Anand 64/57, Bhadurpr Housing Colony, Bhootnat Road, Patna, Bihar 800026

20. 2020-631

Jayendra Kumar Rental Flat 199, Lohia Nagar Kankar Bagh, Colony, Patna 800020

21.

2020-632

Md. Arif Raza Bharati H. No. 16, Gali NO.1, Second Floor, Gaffar Manzil, Jamia Nagar, Delhi

22. 2020-633

Akshay S. Gokulam Ayinampadam, Nemmara P.O. Palakkad, Kerala 678508

23. 2020-634

Amit Gupta H.No. 1275, Sector-15, Sonepat, Haryana 131001

24.

2020-635

Jaya Priya Rajiv P. Immanuel, 3/499, LP Avenue, Kuppam Beach Road, Kottivakkam, Chennai, Tamil Nadu- 600041

25.

2020-636

Aman Randhawa Block 23, Flat No. 703, East End Apartment, Opp. New Ashok Nagar Metro Station, Mayur Vihar Delhi 110096

26. 2020-637

Parvesh Kumar C-1, Amravati Enclave, PKL Haryana - 134105

27. 2020-638 Manik

3

38, Ground Floor, Pratap Nagar, Nr. Hari Nagr, Depot, New Delhi 110064

28. 2020-639

Udit Raj Baxi Bandh Road, Dumka, Bhartia Pathshala, Jharkhand 814101

29. 2020-640

Sagar Arora B-1/32, Model Town-II, Delhi -110009

30.

2020-641

Lakshmi Tejaswi Poludasu H. NO. 15-11-8/1, Papa Raju Thota, High School Road, Chirala, Prakasam District, Andra Pradesh -523155

31.

2020-642

Mohanasundari K. No. 46, Perumal Koil St. Sedukkarai, Gudiyatham, Vellore Dt Tamil Nadu 632602

32.

2020-643

Jayaprakash G 218, Thukkiyampalayam, Kilakku Kaadu, Vazhapadi (TK), Salem Dist., Tamil Nadu 363115

33.

2020-644

Vigneshwararaj A.T. C-2, Sabbatical Qtrs., Madras Veterinary College Hostel Campus, Vepery, Chennai 600007

34. 2020-645

Kunwar Sarthesht E-49/A, Street No. 13, Rajapuri, Uttam Nagar Delhi -110059

35. 2020-646

Surendra Singh Dhakar C-856, Anandnagar Bhosapur, Gwalior, MP 4740112

36. 2020-647

Sonia Brahma H. No. 132, Dakshingaon, Kahilipara, Guwahati, Assam 781019

37.

2020-648

Saumya Shirvastava G-11, PWD Colony, Nr. Girls Polytecnic, Bairon Bazar, Raipur, Chhattisgarh 492001

38.

2020-649

Sarvesh Kumar C/o Kam Prasad, Plot No. 4823, Avas Vikas No.3, Ambedkarpuram, Panki Road, Kalyanpur, Kanpur, UP-208017

39.

2020-650

Mohd Waseem 41/94A, Mishri Bazar, Kanpur, UP 208001

40. 2020-651

Neeraj Singh 27/94, Kot Mohaan The. Hasnganj Dist. Uhnao, UP-229881

41. 2020-652 Alok Kumar Ojha

4

123/484, Fazal Ganj, Kanpur, UP 208012

42. 2020-653

Ravindra Kumar Gautam C-52, Butlar Palace Colony, Jopling Road, Lucknow, UP

43. 2020-654

Rahul Tewari C-83, Sector - J, Aliganj, Lucknow, UP 226024

44. 2020-655

Dheeraj Sharma 4/488, Vibhav Khand, Gomti Nagar, Lucknow, UP 208007

45. 2020-656

Vivek Kumar Saxena 2/80, Vastu Khand, Gomti Nagar, Lucknow, UP-226024

46.

2020-657

Latha Syshma Dommeti 276/A, Ram Bilas Nivas, 9th B Cross, Maruthi Nagar, Badrappa Layout, Hebbal, Bangalore, Karnataka 560094

47.

2020-658

Pravin Kumar Maurya A+C Designs-CS-22, Ist Floor, Shantipuram Tiraha, Phaphamau, Prayagraj-211013

48. 2020-659

Ketan Kumar Singh T-18, Flat no. 1702, La-Residentia Gautam Budh Nagar, UP 201301

49.

2020-660

Mohammad Tahseen C-2, Faculty of Architecture-AKTU, Tagore Marg, Lucknow, UP 226007

50.

2020-661

Ruchi Singh Jadon Ftawah Road, In Front of SBI, Branch Sirsagang (Firozabad), UP 283151

51. 2020-662

Manjul Pratap Singh H.No.S17, Sector-N, Ashiyana Colony, Lucknow, UP 206121

52. 2020-663

Sandeep Singh Negi G-002, B-747, Sector-C, Mahanagar, Lucknow 226006 (UP)

53. 2020-664

Shrish Pratap Singh Vill.-Jolhiniya, Post-Sukarauli Bazar Dist Kushinagar, UP 274207

54.

2020-665

Mohammad Imran Khan 400/22, Abdul Aziz Road, Jhawai, Tola, Nr. Bhola Nath Kuan, Lucknow, UP 226003

55. 2020-666

Gurudeo Devanshu J-262, Aashiana Colony, Kanpur Road, Scheme Luckniw-226012

56. 2020-667 Shirish Pandey

5

A-2/8, Ruchi Khand-Ist, Lucknow, UP 2260002

57. 2020-668

Shalini Diwaker B-2255, Indira Nagar, Lucknow-226016 (UP)

58.

2020-669

Anjali Singh Plot NO. 73/2, Atrauli Road, Prem Nagar, Kalyanpur, West, Lucknow, UP 226026

59.

2020-670

Saurabh Yadav Architect Section, Office of E-IN-C UPPWD 96, MG Marg, Nirman Bhawan, Lucknow, UP 226001

60.

2020-671

Abhishek Prakash D-506, Goel Tower, Opp. GoldenBlossam Resort, Faizabad Road, Lucknow UP

61. 2020-672

Prasenjit Shukla 1/640-A, Sector-J, Jankipuram, Lucknow UP 226021

62. 2020-673

Praphulla Kumar Gupta 591/585, New Baldeo Vihar, Telibagh, Lucknow, UP 226002

63.

2020-674

Bhumika Singh Shope No.16, First Floor, Block No.8, Show Market B/H Doctor Shop Building, Sanjay Place, Agra, UP-282002

64.

2020-675

Varsha Verma 539/KA/75, Sekhpur Kasaila Sanjay Gandhipuram, Post-Indranagar, Luckonw-226016(UP)

65. 2020-676

Vineet Kumar Sharma 306, Mini MIG, Hemant Vihar, Barra-2, Kanpur, UP-208027

66. 2020-677

Chhote Lal Gupta 20/2, Type-4, PWD Colony, Bangla Bazar, Lucknow, UP 274207

67. 2020-678

Abhay Kumar Kharwar 285, Jainagar-1, Barhaj Deoria, UP-274603

68. 2020-679

Brajendra Kumar 2/319 Vishal Khand-2, Gomtinagar, Lucknow, UP-226010

69.

2020-680

Rahul Kumar Gautam Village & Post-Deoria Ganga, Distt. Sant Kabir Nagar, UP 272175

70. 2020-681

Ankit Awasthi 8B/49, Sector-8B, Vrindavan Colony, Telibagh, Lucknow-226002

71. 2020-682 Manish Kumar Mishra

6

195-F, Manas Vihar Colony, By Pass Road, Padri Bazar, Gorakhpur UP-273014

72. 2020-683

Deepati Sagar E-3375, Raja Ji Puram, Lucknow, UP-226017

73.

2020-684

Shadi Lal F/16, Type IV, New Faculty, Residence, Bundelkhand University, Jhansi,

74. 2020-685

Rajdeep Yadav 27, A Radha Puram Gooba Garden, Kalyanpur, Kanpur, UP-208017

75. 2020-686

Zeba Baig 11, Hazrat Mahal Marg, Cantt. Lunkow - 226002

76.

2020-687

Alok Upadhyaya Flat No. 415/416, Ujala Apartment Sector-20, Indra Nagar, Lucknow 226016 (UP)

77. 2020-688

Anjali Goyal 119-B, P&T Colony, Thatipur, Gwalior, M.P. -474011

78.

2020-689

Dhruvita Viren Mahida Bunglow No. 1, Panchavati Society, Opp. Sargam Shopping Centre, Parle Point, Surat, Gujarat - 395007

79.

2020-690

Vimal Gupta Sanrachna Architect and Associates, LGE # 370, Opp. BDP Office, Pilibhit-Kohorapeer Road, Koharapeer, Uttar Pradesh -243003

80. 2020-691

Harshita Khare 5, Pashupati Nagar, Naubasta, Kanpur, Uttar Pradesh -208021

81.

2020-692

Tanushree Biswas 140/2, Satya Nagar, Punjabi Colony, Bhubaneswar Odisha -751007

82.

2020-693

Vinay Vishwakarma H.No. 324/34-B/535, Vinayakpuram-II, Nr. NWP Inter College, Chinhat-4, Lucknow, UP-226028

83.

2020-694

Nitish Kumar Shakya H.No.-81/2H/1, Pushpanjali Nagar, Nr. Bhawapur Chauraha, Bhawapur, Prayagraj, UP 211016

84.

2020-695

Manish Chaudhary H.No.07, Sipah Achla Devi Ghat Road, Bag-Arab, Jaunpur, UP 222001

7

85. 2020-696

Rohit Kumar Verma 33, Lohiya Sector-9, Indira Nagar, Lucknow, UP-226016

86.

2020-697

Yashoda Rani Durga Nagar, Nunihai Nr. Govind Inter College, Rambagh, Agra, Up 282006

87.

2020-698

Anindita Bhattacharjee 211, Vijaya Green Earth, Dimna Road, Mango Jamshedpur, Jharkhand-831012

88.

2020-699

Sandip Kumar H.No.145, Mohalla Pachghara Tehsil, Fatehpur Distt. Barabaniki, UP-225305

89.

2020-700

Arihant Kumar H.No. 15/B, Shakti Nagar Line Par, Moradabad, UP-244001

90. 2020-701

Upma Verma 421, Cheer Purwa, Ashok Nagar, Hardoi, UP 241001

91.

2020-702

Kottuk Joshi LIG-02, Deep Shree Homes Opp. Awadhpuri Police Station, Awadhpuri, Bhopal, MP-462022

92. 2020-703

Dilip Kumar Uadhyay MM-48, Surya Vihar Colony, Gorakhnath, Gorakhpur, UP-273015

93. 2020-704

Harshita Mishra 38, Lalitpur Colony, Lashkar Gwalior, MP-474009

94. 2020-705

Aishwarya Narendr Magadh Colony, Road No. 11, House No. 23 A, Gaya, Bihar 823001

95. 2020-706

Shubhra Mittal 31, Gokhle Marg, Akash-II, Opp. IFFCO Lucknow, UP-226001

96. 2020-707

Ankit Verma D-24, Sector-G, Aliganj, Lucknow, UP-226024

97.

2020-708

Simran Kumar Nisarg, 84, Vivek Vihar, Bajaj Nagar, Opp. Ras Club, Jaipur, Rajasthan-302015

98. 2020-709

Vijaya Lakshmi Bhati A-83, Street No. 6, East Vinod Nagar, Delhi 110091

99. 2020-710 Amisha Bansal

8

Kunj Bihari Bansal, H.No. 5383, Mohan Nagar, Lambi Road, Giddarbaha, Punjab 152101

100.

2020-711

Nilakshi Chakravarty RGB Road, Pragati Path, Guwahati, Nr. Tanz Super Market, House No. 9, Assam -781003

101.

2020-712

Tanya Mukherjee SPA Delhi, Dept. of Urban Planning, 4-B, Ring Road, Vikas Marg, Delhi 110002

102.

2020-713

Shreekanya Baral New Town Action Area-1, Vishwaprem Co. Op. Society, Plot No. AA-167, Flat No. 28, Steet No.57, Landmark Behind, DLF-1, Kolkata -700156

103.

2020-714

Subhamita Dey V-23/32, Vivekananda Park Garia, Kolkata-700084, West Bengal -700084

104. 2020-715

Bhaskar Sharma 715-A, JG-II, Vikaspuri, Delhi 110018

105.

2020-716

Aprajita Tewari 133/310, Aminabad Road, Old Ganesh Ganj, Lucknow, U.P. 273008

106. 2020-717

Lavinder Walia 311, Partap Avenue, Ph-II, GT Road, Amritsar -143001

107.

2020-718

Ramakrishna Moorthy M. R. D-301, Akshaya Apartments, Nr. Sarada Mills, Sundarapuram, Coimbatore -6400024

108.

2020-719

Harita Manav Salvi B-73, Kaltaru Yashodhan, Irla Bridge, SV Road, Andheri (W) -400058

109.

2020-720

Nouman Valibhai Choksi 211, Mirambika Building, Opp. Gandhi Bagh, Nanpura Main Road, Chowk bazar, Gujarat

110. 2020-721

Prashant Shrivastava 341, Gautam Nagar, Govindpura, Bhopal, M.P. -462023

111.

2020-722

Namrata Ghosh 131, PK Guha Lane, Banerjee Apartment, Flat NO. 9, Dumdum Cantonment, Kolkata 700028

9

112.

2020-723

Mukul Anand Singh H/o Parmanand Singh (Retd. Electricity Board Staff) Jay Prakash Nagar, Ram Govind Singh path, Nr. By Pass Sipara, Bihar 800001

113.

2020-724

Rajendra Bhudarji Brahmbhatt C/101, Valencia Tower C, Wing, Tukaram Javji Marg, Nr. Bhatia Hospital, Grant Road, (W), Mumbai-400007

114. 2020-725

Swapnil Machindra Labde Flat No19, B-1, Wing Vishal Residency Kasarwadi Pune 411034

115.

2020-726

Mahima Kirar H.No.01, Bindiya House, Kolua Kalan, Nr. Ecogreen Colony, Ayodhya By Pass Road, Bhopal, MP 462010

116. 2020-727

Abhijeet Kumar NOU, Biscomaun Bhawan, Gandhi Maidan, Patna, Bihar 800001

117.

2020-728

A.R. Alagarsamy MRA 234, 1st Floor, Moolavilakon JN, Pattoor PMG Road, Thiruvananthapurm -35

118. 2020-729

Lakshmi Priyanka Yarlagadda 43-11/3-6/3, Currency Nagar, 6th Cross Road, Vijayawada 520008

119.

2020-730

Kanvi Shubhangika, A-26, 27, Road-02, ST-02, Shyam Vihar, Delhi110043

120. 2020-731

Gaurav Mandal 162-C, Pocket-C, Siddhartha Extension Delhi 110014

121.

2020-732

Abhinav Kumar H-4/301, Shubhdham Apartments, Sector-2, Block-2, Rajendra Nagar, Sahibabad, Ghaziabad, UP-201005

122.

2020-733

Vineet V. Achuthan 402, Abhiyanta CHS, Plot NO. 4, Sector 42, Seawoods Nerul (W), Mumbai 40076

123.

2020-734

Shivani Verma 605, Tower-3, Valley View Estate Gwalpahari, Gurgaon, Haryana 122003

124. 2020-735

Geet Khurana C-57, BK Dutt Colony, Lodhi Road, Delhi 110003

125. 2020-736 Rudrapriya Yadav

10

F-1, ITI Colony, Govindpura, Bhopal, MP 462023

126.

2020-737

Rajat Yadav C-22/12, Basant Vihar, Nr. Snake park, Ujjain, MP. 456010

127.

2020-738

Rajat Singh A-83, Abhilasha Colony, Dewas Road, Ujjain, MP456010

128.

2020-739

Desani Parthkumar Himmatlal 111/112, Gangasagar Apartment, Bhagunagar, Matawadi, Varachha, Surat, Gujarat 395006

129.

2020-740

Parth Kandarp Bhatt 201, Shree Radhe Shyam Flat, 152, Vinayak Society, Akota, Vadodara, Gujarat 390020

130.

2020-741

Kush Punitbhai Joshi Plot NO.43, Royal Pushpa Park, Nr. Krishna School, Khodiyar Colony, Jamnagar, Gujarat 361006

131.

2020-742

Sayali Kishor Agade 336, Kakade Layout, Holi Square, Ward No.8, Saoner, Dist. Nagpur, Maharashtra 441107

132.

2020-743

Pooja Poriya H.No.1022/A/14, Krishna Colony, Nr. Kundan Cinema, Jind, Haryana 126102

133. 2020-744

Mehvish Jan #71, C-Budshahnagar, Natipora, Srinagar, J&K 190015

134.

2020-745

Nidhi Jain 207, Marigold BlockManglam Ananda, Sanganer, Rajasthan 302029

135. 2020-746

Vipin Kumar B-457, Chhattarpur Extension, Delhi 110074

136. 2020-747

Soundhrya B. R. No.67, Pensioner’s 2nd Lane Old Washermanpet, Chennai 600021

137. 2020-748

Geslin Reeba George B-103, First Floor, Canopy Citadel, Bangalore, Karnataka 560043

138. 2020-749

Shalendra Singh Pundir 148, Ram Nagar, Nr. Old Hapur Bus Stand, Meerut, UP 250002

139. 2020-750 Shruti Sahariya

11

Flat 834, Sector-8, RK Puram, Delhi 110022

140.

2020-751

Naga Sravani Kandula H.No.146/1, Ward No. 148, Flat No. 102, 1st Floor, 20th C 2nd Cross Srilama Temple Road, Ejipura Bangalore -560047

141.

2020-752

Bhavya Mathur B-1403, B-Wing, Sahyadri Towers, Upper Govind Nagar, Malad (E), Mumbai 400097

142.

2020-753

Plabita Sharma H.No.5, Byelane-1, Alpine Path, Jyotikuchi, Bank Colony, Guwahati, Assam 781034

143.

2020-754

Anith Jessy Xavier No.27, Vellankani, Street, Venkateshwara Nagar (Ext.) Anbattur, Tamilnadu-600053

144. 2020-755

Rekha Rani Baijalpur Distt Fatehabad, Haryana 125111

145. 2020-756

Sunil kumar VPO Baijalpur (Fatehabad), Haryana 125111

146.

2020-757

Aarti Shrikant Baviskar K-11, Premdan Hudco, Savedi Road, Savedi, Ahmednagar, Maharashtra - 414003.

147. 2020-758

Chandan Kumar Nayak OCB Colony, Nr. Goudpali Burla, Sambalpur, Odisha 768017

148.

2020-759

Kanishka Ashwin Khanna A-62, Riviera Heights, B/H Shaligram-2, Prahladnagar, Ahmedabad 380015

149.

2020-760

Shimul Saumil Shah 22/A, River Colony, Opp. St. Xavier’s College, Navrangpura, Ahmedabad-380009

150.

2020-761

Sahil Khemani E1/169, Arera Colony, Nr. HDFC Bank, Bhopal, MP 462016

151.

2020-762

Riya Thomas 16, Shyamvilla Bungalow Nr. Satyam Complex Science City Road Sola, Gujarat 380060

12

152.

2020-763

Shruthi Suresh Kshirasagar H.No.4627, 16th Main Road, Manchegowdan Kopplu, Vijayana, 2nd Stage, Nr. Krishnadevaraya Circle, Mysore570017

153. 2020-764

Shraddha Kar P-301, Labuoenum Park, Masoarpatta, Pune, Maharashtra 411028

154.

2020-765

Bibhuprakas Saha Pitrisudha, Indrakanan, PO Sripally, Dist. Burdwan, West Bengal 713103

155.

2020-766

Ayush Gupta J-12, J-Lane, Kachnar City, Vijay Nagar, Jabalpur, Madhya Pradesh 482002

156.

2020-767

Shruti Deepak Gandhi G-301, Octacrest, Lokhandwala Township, Kandivali (E), Mumbai 400101

157. 2020-768

Soumya Shrivas 1013/1, Adarsh Nagar, Makronia Sagar, MP -470004

158.

2020-769

T. Kokilavani No.97/138 B Mettu Street, Sathumanagar, Tollgate, Chennai-600019

159.

2020-770

Susmita Paul Vill.+Post-Podrah, PS Sankrail, Shibtala, Opp. Shibtala Primary School, Andul Rd., Howrah 711109

160. 2020-771

Nair Shruti S. Muralee 2/79, Uday Park Panchvati Gorwa, Vadodara, Gujrat 390016

161.

2020-772

Tamilarasu D. 156A, Sree Nagar, 4th Cross Street, Railway Colony PO, Moolapalayam, Erode 638002

162.

2020-773

Berjis Kali Driver Nanabhay Chambers, Flat NO. 18, 11, Rustom Sidhwa Marg, Fort, Mumbai-400001

163.

2020-774

Nitin Pal E-407/E, East Vinod Nagar, Delhi-110091

164.

2020-775

Cukku Pavith Pazhayattu House, Palluruthy P.O. MLA Road, Cochin, Kerala 682006

13

165.

2020-776

Sangye Dawa Myes H.No.234, Seribehar, P.O. Shamshi Kullu Himachal Pradesh 175126

166.

2020-777

Sanjay Balkrishna Saoji K-52 Apartment, Flat NO. B/302, Karve Nagar, Kothrud, Pune, Maharashtra 411052

167. 2020-778

Prerna Jain 24, Main Vandana Nagar, Indore, M.P. 452018

168. 2020-779

Rahul Chaudhary 499, Phool Bagh Colony, Meerut 250001

169. 2020-780

Naresh Kumar 37/7, Onkar Nagar-B, Trinagar, Delhi 110035

170.

2020-781

Mohd. Imran Flat No.106, tower-3, Panchsheel Wellington, Crossing Republic, Ghaziabad, UP 201016

171. 2020-782

Kokilavani S.P. 21/11,East Karikalan, 2nd Street Adambakkam,Chennai-600088

172. 2020-783

Valarmathi . R No.20, Sivan Kovil Street, Kurumbalur(PO),Perambalur-621107

For Fellow

Sr. No. New Membership No.

Name and Address

1. 2020-006 Mamta Singhal (2004-037) GH 84, Scheme No. 54, Vijay Nagar Indore, Madhya Pradesh 452010

The Secretary General

Institute of Town Planners, India

4-A, Ring Road, I. P. Estate

New Delhi- 110002.

NOMINATION

Sir,

I, ______________________________________________________________________________________ permanent resident of

__________________________________________________________________________________________________________________

and a Fellow/Associate Member of the Institute of Town Planners, India, herby nominate the

following to receive the benefits accruing from the Benevolent Fund of the Institute the event of my

death while still being an active* member of the Institute:

Sl. No.

Name of the Nominee (s) Relationship with the Member

Age % age of Share

1.

2.

3.

4.

Place: _________________ Signature___________________

Date: __________________ Name in Full _______________

Membership No. _________________

WITNESS (any two)

1. Signature: _______________________ 2. Signature : ________________________

Name: ____________________________ Name: ____________________________

Add:_______________________________ Add:______________________________

____________________________________ ____________________________________

_______________________________________ *An active member means a member who is not in arrears of subscription fee.

Form ‘F’

INSTITUTE OF TOWN PLANNERS, INDIA

DECLARATION

I, the undersigned______________________________________________________________________being engaged

in the Study (or practice) of Town Planning, having attained the age of twenty-five years, and

having been elected an Associate of the Institute of Town Planners, India do hereby promise

and agree that I will not accept any trade or other discounts or give or accept any illicit or

surreptitious commission or emoluments in connection with any works, the execution of which

I may be engaged to superintend, or on which may be employed under any other person or

with any other professional business which may be employed under any other person or with

any Memorandum and the Articles of Association and the Bye-Laws of the said Institute and

will be governed and bound thereby, and will submit myself to every part thereof and to any

alterations thereof which may hereafter be made until I have ceased to be a member: and that I

shall abide by the rules which may be framed by the Institute from time to time regarding

professional charges; and that by every lawful means in my power I will advance the interests

and objects of the said Institute.

Signed by the above-named __________________________________________________________________________________

Witness my hand on this date of_______________________________________________________ ______________________

Name of Witness (Fellow / Associate Member ITPI)______________________________________________________

Membership No._______________________________________________________________________________________________

Witness (Fellow / Associate Member ITPI) Address and Contact no._____________________________________

__________________________________________________________________________________________________________________

___________________________

(Signature of Witness)

INSTITUTE OF TOWN PLANNERS, INDIA4-A, Ring Road, I.P. Estate, New Delhi - 110 002; Tel: 23702452-62 Fax: 23702453

All interested members are requested to ll the forms and send the same with two colour photographsto ITPI at the earliest so that the Institute can issue an Identity Card is similar to SMART Cart.

1. Name (Caps Letters) :

2. Membership No. :

3. Regional Chapter :

4. Address (Caps Letters) :

5. Telephone: Ofce : Residence :

Mobile :

6. Holders Signature :

7. Two Passport Size colour : Photograph to be attached

Photo Paste here

Photo Paste here