Payment to be made by prospective member only after receiving acceptance of membership application.

Category	Fees	Admission Fees	Total Amount
Annual	Rs 200/-	Rs 100/-	Rs 300/-
Life Member	Rs 2000/-	Rs 100/-	Rs 2100/-
Corporate Member	Rs 20000/-	Rs 1000/-	Rs 21000/-

Online Membership Registration Request

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Category of Membership * :

Annual Membership
Life Membership
Corporate Membership

Full Name * :

Photo (130 x 170) pixels *
(Only JPG file) :

Date of Birth* :

Highest Academic Qualification* :

Present Position* :

Office Address*:

Office Telephone* :

Office Email * :

Residential Address:

Residential Telephone *:

Personal Email *:

Address for Correspondence: Office / Residence *:

Select Address for Correspondence Office Residence

Brief Resume of activities and research interests
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Remaining Words: 500

List of memberships of other professional bodies, if any :

List of prizes/awards/fellowships received, if any:

Number of Publications:
(Journal/Book Chapter/Patent)

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