ZSP Directory
PROFORMA FOR ZSP DIRECTORY TO BE FILLED BY FOUNDER FELLOWS /LIFE FELLOWS /HONORARY FELLOWS/FELLOWS/MEMBERS
TITLE *
GIVEN NAME: *
FAMILY NAME: *
FOUNDER FELLOW /LIFE FELLOW /HONORARY FELLOW/FELLOW/MEMBER *
Insert/Paste Photograph *
Required
DATE OF BIRTH *
MM
/
DD
/
YYYY
QUALIFICATION (Highest Degree, Institution, Year & Subject) *
PROFESSION/TITLE *
ORGANIZATION *
OFFICE ADDRESS *
PERMANENT HOME ADDRESS *
PHONE
CELL *
FAX
E.MAIL ADDRESS *
FIELD OF SPECIALIZATION *
RESEARCH INTERESTS *
NUMBER OF RESEARCH PUBLICATIONS *
AWARDS, IF ANY
OTHER INTERESTS
Admission Fee
Rs 200/=
Life Fellow / Fellow
Annual Fee
Rs 1500/=
Rs 15,000/=(to be paid once )
Life Fellow
Annual Fee
Rs 1500/=
Fellow
Certificate Fee
Payment Modes
THROUGH BANK Title of Account:Treasurer, Zoological Society of Pakistan Account Number: PK08 HABB 0001 8200 0869 0603 Bank Code Number: 0182 IBAN Number: PK08 Swift Code Number: HABB PKKA Name of Bank: Habib Bank Limited Branch & Address: New Campus, University of the Punjab ,Lahore-54590, Pakistan
THROUGH WESTERN UNION in the name of Dr. Abdul Rehman Last name (Family name) : Rehman Given name (first name): Abdul Title: Dr. C.N.I.C. #: 35202-4351266-7. Mobile #: 0306-4118045
Payment Confirmation / Transaction Receipt
I hereby authorize the Zoological Society of Pakistan to publish the above mentioned information in the Directory of Founder Fellows / Life Fellows / Honorary Fellows / Fellows / Members
The Zoological Society of Pakistan
Submit
Never submit passwords through Google Forms.
This form was created inside of University of the Punjab. - Terms of Service