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Date MEMBERSHIP ID NEW / REGULAR MR. MS. DR. NAME LAST / FAMILY FIRST / GIVEN MIDDLE COMPANY TITLE BUSINESS ADDRESS 1 CITY STATE POSTAL CODE COUNTRY EMAIL ADDRESS CODE) AREA CODE) HOME ADDRESS 1 HOME ADDRESS 2 CITY PROVINCE POSTAL CODE COUNTRY E-MAIL AREA CODE) PREFERRED MAILING ADDRESS PREFERRED BILLING ADDRESS Birth(DD/MM/YY) MEMBER OF ISA? YES OR NO OF MEMBERSHIP HIGHSCHOOL ASSOCIATES/VOCATIONAL BACHELORS MASTERS DOCTORATE AREA OF STUDY SECTION SCHOOL DATE OF GRADUATION(MM/DD/YY) 2.A CHECK YOUR PRIMARY JOB FUNCTION CHOOSE ONLY ONE) 2.B CHECK YOUR INDUSTRY CLASSIFICATION(CHOOSE ONLY ONE) SPONSER NAME SPONSER MEMBER # 3 DUES AND PAYMENT REGULAR MEMBER STUDENT MEMBER MEMBERSHIP DUES ISA TRANSACTIONS 5: DIVISIONS MEMBERSHIP Options Total Dvn x Memyears x $10 TOTAL AMOUNT DUE METHOD OF PAYMENT DATE PERSONAL QUESTION: MONTH OF BIRTH SPECAL REMARKS DO NOT RELEASE ADDRESS DO NOT RELEASE PHONE DO NOT RELEASE EMAIL
Federal Institute of Science & Technology (FISAT)
19-03-19 New MR. Alappatt Yashin Student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India yashinalappatt@gmail.com 9495645015 Alappattu(h), Near Govt Hospital, Koonammavu PO , 683518, Ernakulam dt. Ernakulam Kerala 683518 India yashinalappatt@gmail.com 9495645015 BUSINESS ADDRESS BUSINESS ADDRESS 22/10/1998 NO St.Philomenas HSS B Tech Electronics and Instrumentation AU - Student Yes $10.00 $10.00
Federal Institute of Science and technology
19-03-19 New MR RAVINDRANATHAN ADITHYAN Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India adikunju18@gmail.com 7560979947 Vytharini, OPP GEETHA THEATRE , Kullapully, Shoranur 2, 679122, PALAKKAD DT Palakkad Kerala 679122 India adikunju18@gmail.com 7560979947 18/10/1999 No chinmaya vidyalaya kolazhy BTECH Electronics and instrumentation
Federal Institute of Science & Technology (FISAT)
19-03-19 New MR. KA HARIGOVIND Student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly
Federal Institute of Science & Technology (FISAT)
19-03-19 New MR. PODUVAL YADUNATH Student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly
Federal Institute of Science & Technology (FISAT)
19-03-19 New MR. GEORGE JAIN Student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly
Federal Institute of Science & Technology (FISAT)
19-03-19 New MR KR NANTHAKISHOR Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 Indian nanthakishorkrnk@gmail.com Kanjirakkattu house , near parapuram, Karukkutty, Angamali, Ernakulam, Kerala.683576
Federal Institute of Science & Technology(FISAT)
19-03-19 New Ms GEORGE THERESE M Student S6,E &I Department,Federal Institute of Science and Technology(FISAT),Angamaly Kochi Kerala 683572 India theresegeorge97@gmail.com 9947824133 Moonjely house CN/35 Angamaly P O Ernakulam Ernakulam Kerala 683572 India theresegeorge97@gmail.com

19-03-19 New Ms SASI SHREYA Federal Institute of Science & Technology(FISAT) student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India shreyasasi30@gmail.com 9072934026 Paraparambil House,Kattapuram,Koratty P.O.,Thrissur,Kerala.680308 Thrissur Kerala 680308 India shreyasasi30@gmail.com 30/08/1998 NO STAR JESUS HSS BTECH Electronics and instrumentation

19-03-19 New Ms SUBASH ASWATHY Federal Institute of Science &Technology(FISAT) Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683580 India vkmaswathysubash9847@gmail.com 9961793536 Vellayikudam house,sreemoolamagaram, sreemoolanagaram,683580 Ernakulam Kerala 683580 India vkmaswathysubash9847@gmail.com

19-03-19 New MS PH SUHANA Federal Institute of Science &Technology(FISAT) Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683106 India suhanaph22@gmail.com 7356644509 Panikkaruveedu ,Thaikkattukara P O,Aluva-683106,Ernakulam Ernakulam Kerala 683106 India suhanaph22@gmail.com 7356644509 13/10/1998 NO VVBHSS,Aluva B.Tech Electronics and Instrumentation

19-03-19 New Ms MN NAJLA Federal Institute of Science &Technology(FISAT) Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683511 India najla.naseerk@gmail.com 8281663428 Mandayapurath(H),chirayam P.O.,panayikulam -683511 Ernakulam Kerala 683511 India najla.naseerk@gmail.com 8281663428 27/12/1997 No St.anns hss,eloor B Tech Electronics and instrumentation

19-03-19 New Ms Menon Lakshmishri J Federal Institute of Science &Technology(FISAT) Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683102 India lakshmishrijm@gmail.com 8078596330 Dwaraka(H),Desom Kadavu, Aluva,Ernakulam-683102 Ernakulam Kerala 683102 India lakshmishrijm@gmail.com 8943211533 22-09-1998 No IHRD BTech Electronics and instrumentation
Federal Institute of Science &Technology(FISAT) Electronics and instrumentation
20-03-19 New MR THOMAS JOSEPH Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 Indian josephthomas455@gmail.com Thettayil House,BN-139,angamaly-683572 Ernakulam Kerala 683572 India josephthomas455@gmail.com 9048994992 BUSINESS ADDRESS 31/03/1999 NO MGMGGHSS NAYATHODU Btech FISAT
Federal Institute of Science &Technology(FISAT) 683572
20-03-2019 New Ms Jismon Anamika Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683572 Indian anamikajismon@gmail.com 9544657357 Moonjely house, Kidangoor p o Anagamaly 683572 Ernakulam via Ernakulam Kerala india
Federal Institute of Science &Technology(FISAT)
20-03-19 New Ms benny meera Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683577 Indian meerabenny1998@gmail.com 9447077227 pynadath house India meerabenny1998@gmail.com 9447077227
Federal Institute of Science &Technology(FISAT)
20-03-19 New MR Abdurahman Ashfaq Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683577 India ashfaqabdurahman@gmail.com 9526727839 Adiyalath House, Siraj Nagar, Asokapuram P.O , Aluva PIN 683101 Ernakulam Kerala 683101 India ashfaqabdurahman@gmail.com 9526727839 21/03/1998 NO St Fransics Btech Electronics and Instrumentation
Federal Institute of Science &Technology(FISAT)
20-03-19 New MR Paul Joe Student S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly Kochi Kerala 683577 India joepaul9395@gmail.com 8138053707 Cheruvathoor House,Pariyaram P.O ,Chalakudy , 680721 Thrissur Kerala 680721 India joepaul9395@gmail.com 8138053707 25/08/1998 NO Carmal HSS Btech Electronics and Instrumentation
Federal Institute of Science &Technology(FISAT) S6,E&I Department Federal Institute of science and technology(FISAT),Angamaly
21-03-2019 New Ms. Menon Reshma D Student Kochi Kerala 683577 India reshmadmenon@gmail.com 9497852186 44/587, Lakshmi Nivas Opp. Pavakulam Temple, Kaloor, Cochin-682017 Chakkiyath (H), Near Navya Bekery, Moonnamparambu Junction, Karukutty P.O., Angamaly-683576 Ernakulam Kerala 683576 India reshmadmenon@gmail.com 9497852186 Home Address 2 Home Address 2 28/11/1998 No - Amritha Vidyalayam, Ernakulam - B tech - - Electronics and Instrumentation - FISAT - - - - - -
Federal Institute of Science &Technology(FISAT)
21-03-2019 New Ms. MATHEW RAICHU MARY Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India raichmath@gmail.com 9895946360 Manoj Nivas, Mankuzhi road, edappally toll, edapally p.o ernakulam Ernakulam Kerala 682024 India raichmath@gmail.com 9072371217 BUSINESS ADDRESS 15/12/1999 No Rajagiri public school kalamassery B tech Electronics and Instrumentation FISAT
Federal Institute of Science &Technology(FISAT)
24-03-2019 New MR sreekanth Jayasoorya Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India jayasooryasreekanth@gmail.com 9605233751 Ambady House, Elinjipra, Chalakudy, Thrissur, Kerala Electronics and Instrumentation FISAT
Federal Institute of Science &Technology(FISAT)
25-03-2019 New MR Ms. Rajan Abishek Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India rajanabishek15@gmail.com 9745160959 valathil house, chethukadavu,kunnamangalam,Kozhikode 673571 ernakulam kerala india Electronics and Instrumentation FISAT
BABY AJAY Federal Institute of Science &Technology(FISAT) 8330067441 chakkachan house, erumathala p.o,colonypady,aluva aluva 683112 8330067441 st antonys public school
25-03-2019 new MR Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683112 India peterajay44@gmail.com kerala India peterajay44@gmail.com home address 7-Feb-99 no B-tech Electronics and Instrumentation FISAT
K Harisankar Kurup Federal Institute of Science &Technology(FISAT) 9400242720 SREERANGAM, HOUSE NO 98, VIP LANE, ANGAMALY, ERNAKULAM Ernakulam 682573 harisankarrambo@gmail.com 9400242720 VIDYADHIRAJA VIDYABHAVAN SEN SEC SCHOOL ANGAMALY
27-03-2019 New Mr. Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683577 India harisankarrambo@gmail.com Kerala India Home Address 1 Home Address 1 30/07/1999 No B-tech Electronics and Instrumentation FISAT
RAMAKRISHNAN VISHNU Federal Institute of Science &Technology(FISAT)
29-03-2019 New Mr. Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala
Steeve Federal Institute of Science &Technology(FISAT)
29-03-2020 New Mr. Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala
Kumar Achal Shyni Federal Institute of Science &Technology(FISAT)
29-03-2021 New Mr. Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala
Asharaf Shafi Federal Institute of Science &Technology(FISAT)
29-03-2022 New Mr. Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala
Sunil Rishab Federal Institute of Science &Technology(FISAT) 9539990849 B1, Celestial apartments , T.T Road Kannur -2 Kannur 670002 Chinmaya Vidyalaya Kannur FISAT
27-03-2019 New Mr. Student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 670002 India rishsr15@gmail.com Kerala India Home Address No B.tech Electronics and Instrumentation
JOY ASHWIN T Federal Institute of Science &Technology(FISAT) 9207402969 THELAPPILLY HOUSE, HARITHA NAGAR 123 , MAIKKAD P.O. MAIKKAD,ANGAMALY ANGAMALY 683589 Cochin Refineries School FISAT
27-03-2019 New Mr. Student S6,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683589 India ashwintjoy@gmail.com KERALA INDIA Home Address 25/04/1999 No B.tech Electronics and Instrumentation
CS Abhilash Federal Institute of Science & Technology (FISAT) 9567039552 140, Mythri Nagar, Kuzhumbil House, Angamaly P. O Ernakulam Angamaly 683572 9567039552 CCPLM AIHS, Perumanoor FISAT
28-03-2019 Mr. Student S6, E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala 683572 India abhi.csabhi1408@gmail.com Kerala India abhi.csabhi1408@gmail.com 14/08/1998 No B. Tech Electronics and Instrumentation
S Syam Sankar Federal Institute of Science & Technology (FISAT) 8921993090 Ambady house, binny road, palluruthy nada, cochin-6 Chinmaya vidyalaya kalathara
28-03-2019 new mr Student S4,E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi Kerala India Worldfire16@gmail.com 22-03-1999
S ADARSH V Federal institute of science and technology (FISAT) 8943500458 Velambath house, P.O kannampullipuram, chentrappini, thrissur, kerala Thrissur 680687 8943500458 FISAT
28-03-2019 New Mr Student s2,E&I Department,federal institute of science and technology(FISAT),Angamaly kochi kerala 680687 india adarshvsanthosh@gmail.com Kerala India adarshvsanthosh@gmail.com 7-Aug-99 b tech Electronics and instrumentation
Mathew Cyril Federal institute of science and technology (FISAT) 8281649664 Panamkoodan house , kallettumkara , thrissur St Joseph aaloor
28-03-2019 New Mr Student S6, E&I Department, Federal Institute of Science & Technology (FISAT), Angamaly Kochi kerala India Cyrilm059@gmail.com
Santhosh Abhishek Federal institute of science and technology (FISAT) 8714333105 Abhishekam near panayinamkavu, West kadungalloor, Aluva, Ernakulam Aluva 683110
29-03-2019 New Mr Student s2,E&I Department,federal institute of science and technology(FISAT),Angamaly Kochi kerala 683110 India abhisheksanthosh2000@gmail.com Kerala India abhisheksanthosh2000@gmail.com Home Address
Vidhyadhiraja Vidhya Bhavan Aluva FISAT
14-07-2000 No BTech Electronics and instrumentation
Birth(MM/DD/YY) FIRST / GIVEN
31-Mar-99 HARIGOVIND
5-Feb-98 YADUNATH
7-Dec-97 JAIN
22-Oct-98 Yashin Alappatt
25/08/1998 Joe Paul
21/03/1998 Ashfaq Abdurahman

1-Jan-99 Aravind

15-Apr-98 AMRUTHA

1-Jan-99 AKSHAY

24-04-98 ARUN

26-01-98 ALFRED

1-Jan-99 GREESHMA

5-Jan-98 NAVEEN

13-05-93 SACHIN

8-Jun-98 MUHAMMED

1-Jan-99 ANFAL

1-Jan-99 FABIYA

2-Nov-98 ABHIRAMI

22-Sep-98 ALSA

22-Jun-98 DIVYA

2-Jun-98 RISNA

18-Oct-99 ADITHYAN R