MEMBERSHIP

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FEED BACK FORM

Name in Block Letters :
Original Address :
Address for Communication :
Telephone (with code)
Date of Birth
Area of Academic In :
Academic Qualification :
Publications (Separate sheet may be used if needed) :
If Registered for Ph.D.,Please mention the title of your thesis and university :
In Case of doctorate, please mention the title of your thesis and university :
Post doctoral project, if any :