INDIAN WOMEN SCIENTISTS' ASSOCIATION
Soc. Regd. Act 1860 Regd. No. Bom. 193.73 GBBSD dt. 13/6/73
Bom. Pub. Trust Act 1950 Regd. No. F-2931 (Bom.) dt. 19/7/73
Categories of
memberships:
Life Member : Membership is open for all women with a science degree; minimum requirement is a graduate degree or diploma holders in
all disciplines of basic and applied sciences. Payment of life membership fee is mandatory.
Member : Graduates and diploma holders in all disciplines of basic and applied sciences, who have taken membership for one year only.
Associate Members : Those women interested in scientific activities and with a scientific temperament; degree in science is not essential.
Honorary Members : Women scientists of National & International repute; they will be invited to become Honorary members of IWSA.
Subscription :
Admission Fees : Rs. 50/- for all categories of members.
Life Member : Indian Rs.2000/- Abroad200$
Regular Members : Indian Rs. 200/-per year
Associate Members : Indian Rs. 200/- per year.
N.B. : 1. Any change in address must be communicated immediately to the IWSA Office.
2. All outstation cheques must include Rs.50/- as bank service charges.
3. Cheques should be drawn in favour of "Indian Women Scientists' Association".
To,
The Secretary,
IWSA,
Sector-10A, Plot 20,
Vashi, Navi Mumbai - 400703.
I am interested in the objectives of IWSA and desire to become
member /associate member / life member of the Association.
I enclose
herewith Rs._________(cash / cheque drawn on
_________________________________________________)
as membership contribution.
NAME IN FULL : (BLOCK LETTERS) ______________________________________________________
__________________________________________________________________________________
ACADEMIC QUALIFICATIONs (mention subject)
OCCUPATION & EXPERIENCE : _____________________________________________________
__________________________________________________________________________________
other areas of interest : _________________________________
WHETHER A MEMBER AND / OR OFFICE BEARER OF ANY OTHER ASSOCIATION
__________________________________________________________________________________
RESIDENTIAL ADDRESS ___________________________________________________________
_________________________________________TEL ./cell _______________________________
e mail ID________________________
OFFICE ADDress_______________________________________________
_________________________________________________________ TEL /celL_________________
e mail id.: ________________
INTRODUCED BY _________________________________________________
DATE
____________________
SIGNATURE ___________________
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FOR OFFICE USE ONLY
REMARKS _________________________________________________________________________
ADMITTED ON
DATE ____________________ SIGNATURE
(PRESIDENT, IWSA)