Type YesNo
Name (Mr/Mrs)
Email
Mobile
Term FROM
Term To
Membership No
A. Life Membership Rs 6000/- YesNo
B. Member Rs 750/- PA YesNo
C. Associate Rs 500/- PA YesNo
D. Spl. Corporate Rs 600/- PA YesNo
E. Associate Corporate Rs400/- YesNo
F. Library Security 5000/- One Time
Total Amount
Remarks
"Total Amount to be filled by the Member/Subscriber"
Enter Your Details IndividualOrganisation / Corporate
Name
Date Of Birth
Mobile No
On successful completion of payment,you will receive the transaction reference number on this mobile number
On successful completion of payment, you will receive the transaction reference number on this email ID
I have read and agreed to the Terms & Conditions
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