Indian Society of Analytical Scientists - Delhi Chapter

Membership Form

Indian Society of Analytical Scientists (Regd.)
- Delhi Chapter -
C/o Indian Oil Corporation Limited, R&D Centre,
Sector-13, Faridabad 121 007, Fax No. 91-129-2286221
email : kapurgs@indianoil.in

(H.Q. : C/o Analytical Chemistry Division,
Bhabha Atomic Research Centre, Trombay, Mumbai 400 085

(Registration No. Bom/213/83 with GBBSD under Societies Regn. Act 1860
Bom/F/8521/83 under Bombay Publec Trust Act 1950)

Membership Subscription Rates

Please fill the following form :

Name of Individual member or Name of two representative in case of a Sustaining Member (in block letters)
Sex	Male Female
Designation & Office Address
Email*
Date of Birth
Academic Qualifications
Profession / Sphere of activity

I wish to become a Life member of the Indian Society of Analytical Scientists (ISAS). I/We have read the constitution of ISAS and agree to abide by it. I am enclosing herewith cash / draft / cheuque payable at Faridabad for Rs. 1500/- (Rupees One Thousand Five hundred only) in favour of �Indian Society of Analytical Scientists-Delhi Chapter.

Note : Please add Rs. 30/- for outstation Cheque

Membership Subscription Rates

Life Member

Rs. 1500/-

Rs. 20/- (For Admission)

Membership Form

IAC-2019

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