RSRI MEMBERSHIP APPLICATION FORM

REST Society for Research International

(An autonomous body Under Ramachandra Educational and Sports Trust)
(Registered under “The Indian Trusts Act, 1882” with vide number 43/2009) Affix photo
292, TNHB Colony, kaveripattinam, Krishnagiri-635112, India

Name : Prof./Dr./Mr./Miss
(Please type or Print) _______________________________________________________________________________
First Middle Surname name
Title/Position :
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Organization :
Mailing Address : Office Home DoB
(Tick One)
Complete Mailing Address with pin code :
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__________________________________________________________ (Office) ______________________________________________ (Home)

Telephone :
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E-mail ID :
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Highest Educational Qualification :
University/ Degree Year of passing

Type of membership (student Member/life member/senior member):

Fields of Research : with respect to priority

1.
2.
3.

I agree to pay the necessary fees and to abide by the Constitution and By-laws of RSRI.

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Signature of applicant with date

*Sum of Rs. 2500/-for life membership Paid

Scanned copy of Completed membership application form and payment details of membership fees Rs. 2500/- through bank transfer
(Name: Ramachandran; Account No: 35427693875; Bank: State Bank of India; IFSC Code: SBIN0007463) may kindly be mailed to Prof.
Bhavna sharma, Registrar, REST Society for Research International, India.

Tel: Off: +91 6396515828 E-mail: rsrisociety@gmail.com