Membership
Form
To,
The Secretary,
Allahabad Mathematical Society,
10, C. S. P. Singh Marg,
Allahabad - 211 001, INDIA
I
hereby apply to become a Member of the Allahabad Mathematical
Society. Any change of address will be duly intimated to you.
Yours
faithfully,
(Signature
with date)
FULL
NAME (in capital letters)
.
Are
you member of the American Math. Soc. YES
NO
Date
of Birth
.Place of
Birth
Academic
Degrees
Ph.D.
Supervisor's Name
.................................................................
Fields
of Interest
Number
of Research Papers Published (In last 5 years)
...........................
Present
Employment
(University/Institute/Other)
.
Office Address
.....................................................................................
Address
for Correspondence
..
...........................................................................................................
Any
other information
..........................................................................
Phone
.......Fax
........e-mail
.................
FOR OFFICE USE
ONLY
Payment received vide
Receipt No.
.........................dated.......................................
Bank Draft No.
............................................dated for US$/Indian
Rs................. only
drawn on
..................................
Take
a print out of this form, fill it up and send it to following
address:
The
Secretary
Allahabad Mathematical Society
10, C. S.
P. Singh Marg,
Allahabad-211 001 (India)
Note
:
- Membership
Fee: US$60.00;
(Indian Rs.300.00 for India and other SAARC Countries).
The membership fee will be accepted only after the
approval by the committee meant for it.
- The
members are entitled to get all publications of the Society
at discounted price.
- The
members of the American Mathematical Society are entitled to
annual membership by paying only half the amount of annual
membership fee.
- Committee
has right to either accept or reject the membership form.
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