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.
Membership No. ________
INDIAN WOMENS SCIENTISTS ASSOCIATION
PLOT NO. 20, SECTOR 10A, VASHI, NAVI MUMBAI-400703.
Tel No. 022-276618.6, 27662136 · Fax No.91-022-27653391.
iwsahq@gmail.com · www.iwsa.net.
____________________________________________________
APPLICATION FOR MEMBERSHIP
Category of Membership applying for [Please (P)]:
£ Honorary Member £ Life Member £ Associate Life Member
£
Associate Member
£
Member
1. Applicants
Name:
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Main Name/Surname/Last Name [used for alphabetical listing]
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Rest of the Name/ First and Middle Name [used as initials]
2. Date of Birth
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Date
Month
Year
3. Job Title / Designation:
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4. Organisation / firm working for (presently or in the past):
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5. Mailing Address:
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6. Academic Qualifications:
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Degree Obtained |
Name of University/Institution |
Year |
Major Field of Study |
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7. Professional Experience (Technical / Science/Administrative/Managerial:
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Name of Organization |
From |
To |
Title/ Description |
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8. Payment Details:
Amount Rs .. Cash/DD/Cheque No. . Dated / /
Drawn on [Bank/ branch] .
(Payment should be drawn in favour of Indian Women Scientists Association & payable in Mumbai;
please add Rs. 20/- for outstation cheques)
9. Declaration by Applicant:
I hereby declare that I shall abide by the rules and regulations of the IWSA and endeavour to maintain the
professional integrity that is expected of me as an IWSA member, if admitted.
Date: ..... / . / Signature
10. Introduced by IWSA Member
I, know Dr./ Ms .
For . Years and recommend her for membership of IWSA.
Name:
Address: ___________
___________________
Signature of the IWSA Member
Date: ..... / . /
