Professional Documents
Culture Documents
Members Form
Members Form
1 April-May ’18
‚ŒSÿÃÊ ∑§ Á‹∞ ŸÿÊ •ÊflŒŸ ¬òÊ/Application Form For New Membership
‚flÊ ◊¢/To
S≈Òê¬ •Ê∑§Ê⁄ ∑§Ê
◊„Ê‚Áøfl (‚ŒSÿÃÊ ∑§Êÿ¸)/The General Secretary (Membership Affairs) »§Ê≈Ê /
÷Ê⁄ÃËÿ ÁflôÊÊŸ ∑§Ê¢ª˝‚ ‚¢SÕÊ/The Indian Science Congress Association Stamp Size
14, «ÊÚ0 Á’⁄‡Ê ªÈ„Ê S≈˛Ë≈/14, Dr. Biresh Guha Street, Photograph
∑§Ê‹∑§ÊÃÊ-700 017/Kolkata-700 017
◊„ÊŒÿ/Dear Sir,
◊Ò¢ ÷Ê⁄ÃËÿ ÁflôÊÊŸ ∑§Ê¢ª˝‚ ‚¢SÕÊ ∑§Ê •Ê¡ËflŸ ‚ŒSÿ/flÊÁ·¸∑§ ‚ŒSÿ/‚òÊ ‚ŒSÿ/¿ÊòÊ ‚ŒSÿ/‚¢SÕÊŸ ‚ŒSÿ/√ÿÁÄêÃ
ŒÊÃÊ/‚¢SÕʪà ŒÊÃÊ •¬ŸÊ ŸÊ◊ Á‹πflÊŸÊ øÊ„ÃÊ/øÊ„ÃË „Í°–
I like to be enrolled as a Life Member/Annual Member/Sessional Member/Student Member/
Institutional Member/Individual Donor/Institutional Donor of The Indian Science Congress Association.
(Pl. Tick)
◊Ò¢ ß‚∑§ ‚ÊÕ óóóóó ‚ŒSÿÃÊ ‡ÊÈÀ∑§ ∑§ M§¬ ◊¢ Ÿ∑§∏Œ r óóóóó/’Ò¢∑§ «˛Êç≈ ‚¢ÅÿÊ óóóóó
ÁŒŸÊ¢Á∑§Ã óóóóó ¬˝øÊ‹∑§ ’Ò¢∑§ óóóóó 01 •¬˝Ò‹ 20—— ‚ 31 ◊Êø¸ 20—— Ã∑§ ÷¡ ⁄„Ê/⁄„Ë „Í°–
I am sending herewith an amount of r ......... in payment of my subscription by Cash/Bank Draft
No. ......................... dated.................. issuing bank......................................................................... from
the year 1st April 20...... to 31st March 20....... .
◊Ò¢ ÁŸêŸÁ‹Áπà Áfl÷ʪ ◊¢ L§Áø ⁄πÃÊ/⁄πÃË „Í° (∑Χ¬ÿÊ Á∑§‚Ë ∞∑§ ◊¢ ÁŸ‡ÊÊŸ ‹ªÊ∞°)/I am interested in the
following section (Please tick any one).
Áfl÷ʪ/Sections
1. ∑ΧÁ· •ı⁄ flÊÁŸ∑§Ë ÁflôÊÊŸ/Agriculture and Forestry Sciences
2. ¬‡ÊÈ, ¬‡ÊÈÁøÁ∑§à‚Ê •ı⁄ ◊àSÿ ÁflôÊÊŸ/Animal, Veterinary and Fishery Sciences
3. ◊ÊŸfl‡ÊÊùËÿ •ı⁄ √ÿfl„Ê⁄¬⁄∑§ ÁflôÊÊŸ (Á¡‚◊¢ ‚Áê◊Á‹Ã, „Ò¢, ¬È⁄ÊÃàfl-ÁflôÊÊŸ, ◊ŸÊÁflôÊÊŸ, ‡ÊÒÁˇÊ∑§ ÁflôÊÊŸ •ı⁄
‚ŸÊ ÁflôÊÊŸ)/Anthropological and Behavioural Sciences (including Archaeology, Psychology,
Education and Military Sciences)
4. ⁄‚ÊÿŸ ÁflôÊÊŸ/Chemical Sciences
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