Membership
Form
To,
The Secretary,
ams
10, C.S.P. Singh Marg,
Allahabad - 211 001, INDIA
Dear Sir,
I
hereby apply to become an Annual / Life Member of the Allahabad
Mathematical Society. When
enrolled my annual 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$/Indian
Rs................. only
drawn on
..................................
Take
a print out of this form, fill it up and send it to
following address:
The
Secretary
Allahabad Mathematical Society
10, C. S. P. Singh
Marg,
Allahabad-211 001 (India)
Phone
Number: 0091-532-2623553
Note :
- Annual
Membership Fee: US$ 60.00; (Indian Rs.300.00 for India and other SAARC Countries).
Life Membership Fee: US$ 500.00; (Indian
Rs.2000.00 for India and other SAARC Countries). The membership fee
for the annual/life membership 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 annual/life membership form.
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