THE CHEMICAL SOCIETY OF PAKISTAN

PARTICULARS OF THE APPLICANT FOR MEMBERSHIP

(Registered Address: The Department of Chemistry, Quaid-i-Azam University Islamabad)

Email Address: ccccsqau@gmail.com

1)

Application for Membership

.....................................

I desire to be Life member/Annual member/Student member of the chemical Society of

Pakistan and agree to abide by the rules, regulations and traditions of the Society.
A bank draft/pay order no:of Rs:.. is being enclosed herewith in
connection with my life membership/annual membership/student membership for the year

2)

Fathers name: .....

3)

Job title: ...

4)

Telephone (Off.): .....Telephone (Res.): ......

Mobile No.:.. Fax No: .................
Email: ..........

I also wish to contribute Rs. ... as donation for various academic activities of the
Chemical Society of Pakistan.

5)

Undertaking: I undertake to abide by all the rules, regulations and traditions of the
society as available in the constitution and generally practiced respectively and in case of
a disagreement the ruling of the President CSP shall be the final and I shall not challenge
it in any court of law.

6)

Mailing address:...
..
Permanent address: .....
..........

7)

Profession with Experience: ...

..

Signature: ...

No Photograph**
required
stagestage stage

Name in full (in block letters): Dr./ Mr./ Miss/ Mrs....

Name:..
(In block letters)
Mailing address:..
.
.

8)

Academic Qualification: .....

9)

Field of interest: .....

Nominated by:....... Membership No:.....

Action taken by the Council: .........
Membership No. Assigned:. ... Accepted on: ............

Dated:
Membership Subscription Fees*
Accepted, in general, through bank draft/pay order only. You may also pay online in account No.
13420004714301, Habib Bank Limited, Commercial Area Branch F-7, Islamabad. Title of
account being The Chemical Society of Pakistan.
Life membership:
Rs: 5000.00
Annual membership:
Rs: 500.00
Five yearly membership:
Rs: 2000
Student membership:
Rs: 200.00
Overseas (Life):
US dollars 200.00
Overseas (Annual):
US dollars 20.00
Contribution for Journal
Rs: 270.00 per annum for Life members
Rs: 285.00 per annum for 5 yearly membership
Rs: 300.00 per annum for Annual members
Rs: 600.00 per annum for Non members
* Membership fee does not include subscription for the Journal
**No Photograph is required at this stage, Please attach photograph on your card when you
receive it and then send a photocopy of the same to ccccs office.

----------------------------TREASURER

----------------------------SECRETARY GENERAL

----------------------------PRESIDENT

Please return to any one of the following:

1.

The In charge Country Coordination Centre in Chemical Science (CCCCS) , Department of

Chemistry, Quaid-i-Azam University, Islamabad.

2.

Prof. Dr .Khalid M. Khan Secretary General CSP HEJ research Institute of Chemistry
University of Karachi, Karachi 75270.

3.

Vice President of the Local Chapter for onwards transmission the central office or to the
Secretary General CSP.
(Important Note: Membership to be effective from the date of issue of the Membership Card).