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  • Appi Memb Form

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    This document is a membership form for the Association of Physiologists and Pharmacologists of India. It requests the applicant's personal details such as name, education qualifications, addresses, contact information, and payment for either an annual or life membership to the association. The form outlines the subscription and admission fees for both annual and life memberships.

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    This document is a membership form for the Association of Physiologists and Pharmacologists of India. It requests the applicant's personal details such as name, education qualifications, addresses, contact information, and payment for either an annual or life membership to the association. The form outlines the subscription and admission fees for both annual and life memberships.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    13 views1 page

    Appi Memb Form

    Uploaded by

    jaludax
    This document is a membership form for the Association of Physiologists and Pharmacologists of India. It requests the applicant's personal details such as name, education qualifications, addresses, contact information, and payment for either an annual or life membership to the association. The form outlines the subscription and admission fees for both annual and life memberships.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    APPI Membership Form The Association of Physiologists and Pharmacologists of India

    To, The Finance Secretary, Association of Physiologists and Pharmacologists of India Department Of Physiology, All India Institute of Medical Science, Ansari Nagar, New Delhi-110029. INDIA

    Dear Sir / Madam, Please enroll me as a Life / Annual Member of the Association of Physiologist and Pharmacologists of India. I shall abide by the rules and regulations as formulated y the Association. I am herewith sending my subscription fee of Rs..( ) and admission fee of Rs.(.) . Total Rs..( ) towards my Life / Annual membership by M.O/ DD. Membership required Life Annual Name in full (Block letters) Dr/ Prof/ Mr/ Mrs Education Qualification Department Degree/Diploma/ PG Degree Year of Passing University a) b) c) Personal Status Field of interest Address ( O)

    (R) Phone (0) (R) Mobile:

    Date Place Demand Draft may be drawn in favor of Association of Physiologists and Pharmacologists of India payable in New Delhi Subscreption fee Adm. Fee Total Annual Membership (for one finanicial year): Rs 300/Rs 10/Rs 310/Life Membership Rs 3000/Rs 10/Rs 3010/(can be paid in two installments of Rs 1500/- each)

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