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Fellowship-Form
Fellowship-Form
Fellowship-Form
No.30 & 31, B.P. Radhakrishna Bhavan, 1st Main, 3rd Cross, Byrappa Garden, BSK 3rd Stage, Kathriguppe,
Bengaluru – 560 085. Phone: 080-2672 3943. Email: gsocind@gmail.com. gsocind@geosocindia.org;
Website: www.geosocindia.org
Eligibility: Every candidate for Fellowship shall be duly proposed and seconded by two of the Fellows of the
Society and further supported by at least one other Fellow. Of these, the proposer shall certify from personal
knowledge regarding the fitness of the candidate for election. All such nominations shall be in the prescribed
form, furnishing full particulars regarding the candidate proposed.
Benefits/Privileges: Fellows of the Society shall have the right to vote, nominate and stand for election to the
Council of the Society. Only Fellows have the right to propose, second or support members for election to the
Fellowship. Fellows are entitled to have access to online journal or receive hard copy of the Journal on payment
basis. They can avail publications of the Society at a discounted price.
Fellowship fee: Rs. 18,880/- (Admission Fee of Rs. 1000/- + Fellowship fee of Rs. 15000/- + 18% GST).
(The payment should be sent only after the election of the candidate by the Council of the Society)
APPLICANT INFORMATION
£ Mr. £ Ms.
Pin: 723103
______________________________________________________________________________________________
7908663319
Telephone:: Mobile ___________________________ Landline ____________________
bibekchatterjee93@gmail.com
Email: _________________________________
ACADEMIC QUALIFICATION
College / University / other institutes Degree Year received
NIT Rourkela Odisha
____________________________________________ M.Sc Applied Geoloy 2016
__________________ _______________
J.K. College, Purulia
____________________________________________ B.Sc Geology (Hons)
__________________ 2014
_______________
____________________________________________ __________________ _______________
WORK EXPERIENCE
Present Position
Exploration Geologist
______________________________________
Geological Society of India
No.30 & 31, B.P. Radhakrishna Bhavan, 1st Main, 3rd Cross, Byrappa Garden, BSK 3rd Stage, Kathriguppe,
Bengaluru – 560 085. Phone: 080-2672 3943. Email: gsocind@gmail.com. gsocind@geosocindia.org;
Website: www.geosocindia.org
OTHER DETAILS
13/03/2024
Signature of the Applicant Date:
We propose and second the application for Fellowship on the basis of personal knowledge about his/her work.
In our opinion the Applicant is fully qualified for election as Fellow of the Geological Society of India.
Statement of the Proposer detailing the contributions made by the Applicant in the field of Earth Sciences should
be attached in a separate sheet.