Student Membership Form

Student Membership Form

This free Membership is offered for 3 years. If you are continuing your studies after the tenure of this Membership, you need to apply for a New Student Membership with the supporting documents.

1. Name in Block Letters

Mr/Mrs/Miss

2. Date of birth

Date of birth

3. Father’s Name

Father’s Name

4. Home Address & Home Communications:

Phone Number:

Mobile Number:

E-mail (in CAPITAL):

Address

City

State

Pincode

Same as above Home Address:

5. Address for correspondence:

Phone Number:

Mobile Number:

E-mail (in CAPITAL):

Address

City

State

Pincode

6. Academic & Professional Qualifications:

Academic & Professional Qualifications

7. Primary Field of Interest :

FERROUS NON FERROUS METAL SCIENCE ENERGY & ENVIRONMENT OTHERS

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