Online Membership Registration Form
Membership Fees --- Donor member Rs.5000/-, Life Member Rs.1000/-, Ordinary Member Rs.100/-, Institutional Member Rs.2500/-(one year).
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INITIAL
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Mr.
Ms.
Dr.
Km.
Smt.
NAME IN FULL
Your answer
DATE OF BIRTH
MM
/
DD
/
YYYY
QUALIFICATION
Your answer
NAME OF INSTITUTION/OFFICE
Your answer
DESIGNATION
Your answer
PAY SCALE
Your answer
CORRESPONDENCE ADDRESS
Your answer
PERMANENT ADDRESS
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