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International Annual Membership Form

  • Name *

  • Father/Husband Name *

  • Date of Birth *

  • Full Address with Home District
    and State *

  • Academic Qualification

  • Present Designation

  • Department/ Organization *

  • University/Institution

  • Email Address *

  • Mobile Number *

  • No. of Research Paper Published *

  • Field of Interest and Specialization

  • Details of Medal/Award Received

  • Any Other Information

  • Upload Passport Size Photograph *

  • Your Resume *

  • Terms and Conditions

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