Indian Mathematical Society
Established : 1907
Registration No. S - 550, Delhi
http://www.indianmathsociety.org.in
INDIAN MATHEMATICAL SOCIETY
MEMBERSHIP APPLICATION FORM
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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 : ______________________________________
Name, Membership Number & Signature of the Proposer : _________________________________________________
Name, Membership Number & Signature of the Seconder : _________________________________________________
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The membership Fees 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 Fees, may be sent to
Prof. S. K. Nimbhorkar, Treasurer, Indian Mathematical Society, Department of Mathematics,
Dr. Babasaheb Ambedkar Marathawada University, AURANGABAD - 431004 (MS), India.
The membership dues may be paid by a Demand Draft payable to the INDIAN MATHEMATICAL SOCIETY at Aurangabad.
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