International Life Membership

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Life Membership Form

  


Membership TypeFee Membership TypeFee
Individual Life Membership
US$ 200.00Spouse Life MembershipUS$ 250.00
Institutional Life Membership US$ 1000.00Benefactor Life MembershipUS$2000.00
Patron Life Membership US$ 5000.00 Sponsor MembersUS$3500.00


NameYour Full Name
Father/Husband Namewhichever applicable
Date of Birth
date_range
Full Address with Home District and StatePostal Address
0 /
Academic QualificationAll Information
Present Designation
Department/ Organization
University/Institution/Industry/Others
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
cloud_uploadUpload
Your Resumeupload current
cloud_uploadUpload
Terms and Conditions
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