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Registration form
To;
The Secretary General,
Society for Environment and Development, (SED India)

Dear Sir,
I wish to enroll as Annual /Life Member of Society for Environment and Development, (SED India). I agree to abide by the Memorandum and Rules and Regulations of the Society as framed from time to time.

Email address *
New/Renew *
If renew give old details membership number and year
Title: Prof./Dr./Mr./Mrs./Ms. *
Required
First Name *
Last Name
Qualification *
Country *
Gender *
Date of Birth :Day/ Month/ Year *
Professional Address: *
Residential Address *
Phone No:
Mobile No *
Preferred Correspondence: *
Membership types: *
EWIJST Online Issue: Note: Members shall receive the ‘Environment & We: An International Journal of Science & Technology’ (EWIJST) online issue at gratis only on provided email ID *
EWIJST online issue at gratis only on this email ID if required
EWIJST Print Issue: Note: Members shall receive the ‘Environment & We: An International Journal of Science & Technology’ (EWIJST) after additional Payment Rs 1000/-INR within India and US $ 80 outside India for postage and handling charge every year *
Membership charges details
Amount paid by Online Transaction to SBI (Bank details for online payment - Beneficiary Name: SED India ; Bank Name: State Bank of India; JNU New Campus, New Delhi, Account No.: 31743269161, IFSC: SBIN0010441) Amount paid (INR/US$) *
Transaction ID *
Details of your Bank Name and Branch *
Transaction Slip *
Required
Date *
MM
/
DD
/
YYYY
Time *
Time
:
Signature *
Required
Upload your photograph *
Required
I certify that the information provided on this application is accurate and true. I understand that withholding of information or giving false information will result in a refusal to membership or in disciplinary action and including termination of my membership at any stage. *
Required
A copy of your responses will be emailed to the address you provided.
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