INDIAN SOLID STATE IONIC SOCIETY
(Regd. Under Society Registration Act.)
Address: Physics Department Banaras Hindu University Varanasi-221005
Membership Application Form
(Regd. Under Society Registration Act.)
Address: Physics Department Banaras Hindu University Varanasi-221005
Membership Application Form
Dear Sir,
I hereby apply to become a Life Member*/Annual Member*/Institutional Member* of Indian Solid State Ionic Society (ISSIS)
I hereby apply to become a Life Member*/Annual Member*/Institutional Member* of Indian Solid State Ionic Society (ISSIS)
Name: ................................................................................
Present address (Office):** ......................................................................
........................................................................
.........................................................................
Permanent address (Residence):** ):** ......................................................................
........................................................................
..........................................................................
E-mail:** ..........................................................................
Qualifications: Ph.D./M.Sc./B.Tech.etc) ........................................................................
..........................................................................
General Area of Research: ........................................................................
..........................................................................
Signature
(Full Name)
*Fees (Payable in case or in draft payable at SBI, B.H.U.Branch, Varanasi in favour of treasurer, Indian solid state ionic society)
Life member Rs. 1,000
Annual member Rs. 1, 00
Institutional member Rs. 5,000
**Please inform the ISSIS office of any change in address
Present address (Office):** ......................................................................
........................................................................
.........................................................................
Permanent address (Residence):** ):** ......................................................................
........................................................................
..........................................................................
E-mail:** ..........................................................................
Qualifications: Ph.D./M.Sc./B.Tech.etc) ........................................................................
..........................................................................
General Area of Research: ........................................................................
..........................................................................
Signature
(Full Name)
*Fees (Payable in case or in draft payable at SBI, B.H.U.Branch, Varanasi in favour of treasurer, Indian solid state ionic society)
Life member Rs. 1,000
Annual member Rs. 1, 00
Institutional member Rs. 5,000
**Please inform the ISSIS office of any change in address
