ELT
@
I
E
nglish
L
anguage
T
eachers'
A
ssociation of
I
ndia. (
ELTAI
)
Established by
Padmashri Sri S. Natarajan
in 1974
Membership Application Form
Basic Details
Type Of Membership
*
--Select--
Individual-Student
Individual-Teacher
Institutional
Name
*
Mr
Ms
Dr
Prof
DOB
*
(dd/mm/yyyy)
Age
Institution
*
School - Primary
School - Middle
School - Secondary
School - Higher Secondary
Pre-Degree College
Polytechnic
Arts, Science & Commerce College - UG
Arts, Science & Commerce College - PG
Professional College - Engineering
Professional College - Medicine
Professional College - Business
Professional College - Law
Teacher Training Institute
Teacher Education College
University
Others
Gender
*
-- Select Gender--
Male
Female
Transgender
Others Institution
Details for Communication
Address
*
City/Town
*
PIN Code
*
Country
*
--Select Country--
India
State
*
Mobile Number
*
Email Address
*
Landline Number
Membership Details
Type Of Membership
*
Duration of Membership
*
Amount
*
Payment Option
*
--Select--
Bank/Online Transfer
Cheque
Demand Draft (DD)
Enter the Image Text
Note:
You may send your membership fee through online transfer NEFT/ RTGS from your bank account to ELTAI account; please note the details given below for such a transaction:
Details of our SB account with the SBI:
Account Name:
ELTAI (English Language Teachers’ Association of India)
Bank & Branch:
SBI, Villiwakkam Branch, Chennai-600049.
Savings Account No.:
30870397943
IFSC Code :
SBIN0007108
MICR :
600002058
Branch Code :
007108
A scanned copy of the bank transfer challan or details of online transfer made, i.e. UTR / IMPS Reference Number should be sent to ELTAI office through e-mail:
eltai_india@yahoo.co.in / indiaeltai@gmail.com.
You may also send your subscription by Cheque or Demand Draft in favour of
‘English Language Teachers’ Association of India’
with your postal address with PIN Code, and email address and contact mobile number for communication. to our office by Regd./Speed post or Courier only.
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