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. When enrolled my membership may kindly be renewed
on the 1st of the January every year till you hear from me
otherwise. 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)
Phone Number: 0091-532-2623553
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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