ISGF Membership Application Form : 2015
Office: India Smart Grid Forum, c/o Central Board of Irrigation and Power, CBIP Building, Malcha Marg, Chanakyapuri, New Delhi 110021
Email: [email protected] | Website: www.indiasmartgrid.org
Membership Number (to be allotted by ISGF):
A Member Details
Name:
Address:
State:
Postcode:
Country:
Telephone:
Mobile:
Email:
Pan Number:
B Prime Nominee (person representing the Member in ISGF)
Name:
Designation:
Work Location:
Address:
State:
Postcode:
Country:
Telephone:
Mobile:
Email:
Please specify the preferred address for correspondence
Profile/Resume of the Member’s Prime Nominee may please be attached
Alternate Nominees and their contact Information (please furnish name, mobile & email)
1.
Page
1
2.
C Member’s Business
Area of Business - Government/Utility/Policy&Regulation/Research/Academia/Industry Association/Media&Publication/ Industry
(Communication, EPC, IT (OEM & SI), Consulting, Engineering, Metering, Other Technology Providers)/Individual/Other
Brief Description
Number of Years in Business (Optional):
Number of Employees (Optional):
Turnover: Year (Optional)
Currency:
Amount:
Brief on Operations in India:
D Membership Category
Category: Government/Regular (Utility/Industry) / Associate/Individual/International/Honorary - Please refer details at the bottom of this
Form
E Payment Details (Payment to be made after membership is approved by Board of Governors of ISGF):Amount
Cheque/DD/Wire Transfer Reference Number
Cheque / DD drawn in favour of: India Smart Grid Forum
F Choice of Working Groups
WG
Representative Name
Mobile
Email
1.
2.
3.
..
..
Page
2
Profile/Resume of the Member’s Representatives in each WG may please be attached
G Declaration
We/I declare that the statements made on this form are true to the best of our/my knowledge and belief. I understand that the forum
membership is voluntary. I have read the byelaws and MoA of Forum. We/I agree to comply with the Bye-laws and Rules of Conduct of the ISGF
and understand that this is a commitment to behave ethically within our profession. We/I will do my best to promote the interests of the ISGF.
I/We further declare that the Membership Contribution paid by us to ISGF shall form part of the Corpus.
Signature:
Date dd / mm / yyyy
Category of Members and Contributions:
•
Government Members: enjoy voting rights; no membership contribution
•
Utilities (power utilities in Generation/Transmission/Distribution including Central / State Utility / PSU / Power Dept./ Private
Utilities / Private Franchise Operators) : Full voting rights, representation in all Working Groups
•
Rs.10 Lakhs life time Contribution to the Corpus; 50% discount for Utilities from North East and Hills States; can be paid
in one instalment or in maximum 5 equal annual instalments.
•
Industry: Contributions to the Corpus and Annual Contributions will be tiered on the basis of their Annual Global Revenue:
•
Above Rs.100 Crores: Rs.5 Lakhs Joining Contribution to the Corpus and Rs.1 Lakh Annual Contribution
•
Between Rs.20-100 Crores: Rs.3 Lakhs Joining Contribution to the Corpus and Rs.50,000 Annual Contribution
•
Below Rs.20 Crores: Rs.1 Lakhs Joining Contribution to the Corpus and Rs.50,000/- Annual Contribution
•
Full voting rights. Representation in all Working Groups.
•
Associate Members: Non-Profit/Educational & Research entities – no contribution; no voting rights; by invitation for a period of 2
years by BoG, renewable by decision of BoG. These entities will be selected by the BoG.
•
Individual Members: Rs.50,000/- as Joining Contribution to the Corpus – for eminent persons by invitation; voting right and
representation in all Working Groups; annual contribution Rs.5000/•
Honorary Members: Distinguished Personalities from different walks of life who could contribute to ISGF’s missions & objectives –
by invitation of BoG only. No contribution, no voting right.
•
International Members: Entities having no presence in India; more as Observers; Rs.5 Lakhs or equivalent amount in foreign
currency according to prevailing exchange rates as Joining Contribution to the Corpus. Full voting rights. Representation in all
Working Groups. Annual Contributions: Rs.1 Lakh or equivalent amount in foreign currency according to prevailing exchange rates.
Page
3
First Contribution to the Corpus is for the first 12 months; there after members will pay Contribution towards Annual Expenses as applicable
for each calendar year
Download

ISGF Member Application Form - REVISED