ASM-IIM 2026

APPLICATION PROFORMA


1. Name of the Applicant*

2. Present Occupation & Designation *

3. Address for Correspondence *

4 Date & Place of Birth*

5. Education Qualifications details(in chronological order)*
( Each field of minimum 2 rows required )

# Institute/ University Degree Year Major Subjects
1
2
3
4
5
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Supporting Credentials
( Please Upload .pdf, .jpg, .png, .xlsx, .docx files only and maximum file size 2 MB. )

6. Professional Experience(in chronological order)*
( Each field of minimum 3 rows required )

Organization Designation Tenure Role/ Responsibility
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Supporting Credentials
( Please Upload .pdf, .jpg, .png, .xlsx, .docx files only and maximum file size 2 MB. )
7. List of Publications and Patents


8. Membership of Professional Bodies/Societies


9. Professional Awards/Honors received


10. Specific achievements in Metallurgy profession (max. 200 words)

11. Visits planned in North America during the next financial year under the program

12. Proposed Title of the talk & corresponding abstracts

Supporting Credentials
( Please Upload .pdf, .jpg, .png, .xlsx, .docx files only and maximum file size 2 MB. )