Life Time Membership Form

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Life Membership Form


Membership TypeFee Membership TypeFee
Individual Life Membership
Rs. 5000.00 / US$ 200.00Spouse Life MembershipRs. 8000.00 / US$ 250.00
Institutional Life Membership Rs. 25000 / US$ 1000.00Benefactor Life MembershipRs. 35000.00 / US$2000.00
Patron Life Membership Rs. 50000 / US$ 5000.00 Sponsor MembersRs. 1,00,000.00 / US$ 3500.00

NameYour Full Name
Father/Husband Namewhichever applicable
Date of Birth
Full Address with Home District and StatePostal Address
0 /
Academic QualificationAll Information
Present Designation
Department/ Organization
Mobile Numbera valid mobile number
No. of Research Paper Published
No. and Names of Books Published
Field of Interest and Specialization
Details of Medal/Award Received
Any Other Information
Upload Passport Size PhotographFor Certificate
Your Resumeupload current
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