Phone: +91-98 71 372 350 Email: [email protected], [email protected]

International Life Time Membership Form

Membership TypeFeeMembership TypeFee
Individual Life Membership
US$ 100.00Spouse Life MembershipUS$ 250.00
Institutional Life MembershipUS$ 1000.00Benefactor Life MembershipUS$2000.00
Patron Life MembershipUS$ 5000.00Sponsor MembersUS$3500.00

  • 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

    I accept the Terms and Conditions

  •