THE SHAKESPEARE ASSOCIATION

(REGD. NO. 92/2008-09)

173, Sector-2, Urban Estate, Kurukshetra (India) 136 131

Phone: 01744-231004; Mobile: 094160 35556
E-mail: bhimsdahiya@gmail.com

MEMBERSHIP FORM
I, _____________________ daughter/son of Shri _________________________,
holding the degree of M.A./M.Phil/Ph.D. in English, working/having worked as
Professor/Reader/Lecturer in the English Department of __________________________
wish to become a life member of The Shakespeare Association and swear to abide by the
rules and regulations of the Association. I hereby enclose a draft/cheque No. __________
dated ____________ for rupees three thousand as membership fee to be drawn on the
State Bank of India, Kurukshetra University Branch, Kurukshetra. I may be admitted as
member of The Shakespeare Association.
Signature _______________
Dated __________________
Contact No. _____________
Email:
Address: ________________

________________________

________________________
Admitted/Not Admitted
Signature __________________

(President)
Dated _____________________

THE SHAKESPEARE ASSOCIATION

(REGD. NO. 92/2008-09)

173, Sector-2, Urban Estate, Kurukshetra (India) 136 131

Phone: 01744-231004; Mobile: 094160 35556
E-mail: bhimsdahiya@gmail.com

MEMBERSHIP FORM FOR INSTITUTION

As Principal/Registrar of the educational institution named _________________
______________________________________, I, Dr./Ms. ________________________
which to apply for life membership for The Shakespeare Association for our Institution. I
hereby enclose a draft/cheque No. __________ dated ____________ for rupees ten
thousand as membership fee to be drawn on the State Bank of India, Kurukshetra
University Branch, Kurukshetra. Our institution may kindly be admitted as member of
The Shakespeare Association.
Principal Signature ________
(with stamp)
Dated __________________
Contact No. _____________
Email: _________________
Address: ________________

________________________

________________________
Admitted/Not Admitted
Signature __________________
(President)

Dated _____________________