Professional Documents
Culture Documents
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Date of Birth
Nationality
Professional Designation and
Address (official)
Tel:
Fax:
Mobile:
E-mail:
Address (Residential)
Tel:
Fax:
Mobile:
E-mail:
Academic Qualifications
Degree
University
Year of Passing
Specialization
Remarks
Organization
Designation
Nature of Work
Professional Experience
From
To
e-transfer details
I, the undersigned, do hereby state that the statements made in this Application Form for the
Membership of the Society are correct. In the event of my selection, I will be governed by the
Rules of Society as they are now framed or as they may be altered hereafter amended or enlarged
under the powers of the said Rules. As member of the Society, I will advance the objectives of
the Society as far as feasible.
Date:
Place:
Secretary