Professionals Membership form

Reg.No.KTM/TC/909/2013
Regd.Office: Dept. of Social Work, BCM College, Kottayam
Affiliated to IFSW (International Federation of Social Workers)
Through INPSWA ( India Network of Professional Social Workers’ Associations)

APPLICATION FOR MEMBERSHIP

Note: Please read the guidelines given at the end before filling up this form.

Payment can be made online through following KAPS SBI (SB account) online payment link:
https://www.onlinesbi.com/sbicollect/icollecthome.htm?corpID=2719762

Full Name

Place of Birth

Date of Birth

Aadhar Number

Address for communication (with DISTRICT & PINCODE No.):

Permanent address (with DISTRICT & PINCODE No.)

Phone (Mobile):

Phone (Off):

Phone (Res):

Passport size colour photograph

Social Work Qualifications (Bachelors degree and above)

Degree certificate

Important appointments held as a Professional social worker .

Additional information, if any: (Honours, distinctions, awards or any other important information):

District chapter in which you prefer to serve as a member: (should either your present workplace or district given in the Permanent address)

Are you already a member of any other society/Association/similar Organization? YES / NO If yes, please give details of membership:

Your expertise and areas of interest in the field of social work:

Were you a student member of KAPS? If yes please give details.

Amount

Date of payment through bank

Reference No of payment

Proof of transfer of fees

Guidelines:
Eligibility for Membership: Must be a holder of BSW/MSW/MA(SW) degree from any UGC recognized University.
Those who have completed the degree in distance education must contact KAPS office for membership.
Membership fees: Rs.1500
       Rs.1300 only for converting student membership to life membership
Pay membership fees ONLINE (using any mode) before filling up this form.
       Fees can be paid to: A/c No. 33607666456, State Bank of India,
       Opp.Malayala Manorama, Kottayam. IFSC Code: SBIN0001891
       A/c Name: Kerala Association of Professional Social Workers
Keep following documents ready before filling up the form:
      (i) Copy of eligible degree certificate (BSW/MSW/MA(SW))
      (ii) Copy of recent passport size colour photograph
      (iii) Proof of transfer of fees
In case of any queries regarding membership, please contact at:
       kapsmembership@gmail.com or 91-9446448215