SOCIETY FOR INFORMATION SCIENCE

(FOUNDED 1976)

Life/ Individual Membership form*

 

 

Full Name                                           :

 

Date of Birth                                       :                                   Sex      : Male / Female

 

Mailing address                                  :

                                   

Pin code          :          

Phone                                                  :                                   Fax                  :

E-mail                                                  :                                  

Academic qualifications                      :

Professional qualifications                  :

 

Post currently held (please mention designation, department and institute)                                                                                                                       :

 

Length and type of experience          :

 

Honours/awards won, if any                :

 

Publications during the last 2 years   :

 

 

Date    :                                                                       Signature of the applicant       :

 

 

*Annual subscription: Rs. 100.00 / Life membership: Rs. 1000.00. Cheque/DD should be in favour of Secretary, SIS payable at Syndicate Bank, PUSA Branch, New Delhi. Filled application with Cheque /DD have to be sent to Mr Ramesh Kundra, Secretary-SIS, C/o NISTADS (CSIR), Dr K S Krishana Marg, New Delhi-12

                                                                                                                                                                                        

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