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Indian Mathematical Society
Established : 1907
Registration No. S - 550, Delhi
http://www.indianmathsociety.org.in
heep://www.geocities.com/indianmathsociety/

THE INDIAN MATHEMATICAL SOCIETY
MEMBERSHIP APPLICATION FORM
__________________________________________________________________________________________

Full Name (BLOCK LETTERS) : ___________________________________________________

Date of Birth: ____________________________ ; Nationality : ____________________

Educational Qualifications: __________________________________________________

Areas of Specializations, if any : __________________________________________________

Present Position: ________________________________________________

Office Address, if any : _____________________________________________________________

_______________________________________________________________________________

Address for Correspondence: _______________________________________________________

_____________________________________________________ PIN : _______________________

Phone(s): ________________________________________________________________

E-mail: ____________________________________________________________

Type of Membership desired : ORDINARY / LIFE*
* Strike off whichever is not applicable.

Date : __________________ ; Signature of the Applicant : __________________________________

________________________________________________________________________________________

The membership dues are as follows :
(a) : For Ordinary Annual Membership :
Rs. 200/- (US $100/- for those residing outside India).
(b): For Life Membership :
Rs. 2000/- (US $1000/- for those residing outside India).
The completed Membership Application Form, alongwith membership dues, may be sent to Prof. S. K. Nimbhorkar, Treasurer, Indian Mathematical Society, Department of Mathematics, Dr. Babasaheb Ambedkar Marathawada University, AURANGABAD - 431 004 (MS), India.
The membership dues may be paid by a Demand Draft payable to the INDIAN MATHEMATICAL SOCIETY at Aurangabad.