Rajasthan Sociological Association
Membership Form
The Secretary,
Rajasthan Sociological Association
Jaipur
Sir,
I would like to be a Life Member (Rs. 2500) or Research scholar/Student member (Rs 500) for
one year (the revised membership fee will be effective from 01-07-2015) of the Rajasthan Sociological
Association and remit Rs. ........ by Cash/bank Draft in favour of Secretary,Rajasthan Sociological Association
payable at Jaipur.
Date............ Yours Faithfully
Payment received on ...................../ in Cash/ By DD No. .............. of Rs. ........................
Bank Slip No. .................................................. Date ...............................
Approved by Executive Committee on...................................LM No. ............................
Secretary Treasurer
The Membership Fee May be remitted by Cheque/DD drawn in favour of 'Secretary, Rajasthan SociologicalAssociation Jaipur, Payable at Jaipur. The Membership fee is non refundable. Bank Details : ICICI Bank, Bapu Nagar, University Campus, JaipurA/c No. 674701414661 RTGS/NEFT/IFSC Code : ICIC 0006747, MICR Code 302229018
e-mail : rajsociologicalassociation@gmail.com RSA Website : www.rsraj.org
Rajasthan Sociological Association
Jaipur
Sir,
I would like to be a Life Member (Rs. 2500) or Research scholar/Student member (Rs 500) for
one year (the revised membership fee will be effective from 01-07-2015) of the Rajasthan Sociological
Association and remit Rs. ........ by Cash/bank Draft in favour of Secretary,Rajasthan Sociological Association
payable at Jaipur.
Date............ Yours Faithfully
| 1. | Full Name in Block Letters (Surname First) | ...................................................... |
| 2. | Date of Birth | ...................................................... |
| 3. | Maling Address | ...................................................... ...................................................... |
| 4. | Permanent Address | ...................................................... ...................................................... |
| Mobile No. | ...................................................... ...................................................... | |
| 5. | Name of the College/University/Institution in which working | ...................................................... ...................................................... |
| 6. | Subject.........................Area of Specialization | ...................................................... |
| 7. | Teaching Experience (Years) | ...................................................... |
| 8. | Publication, (Enclose list) | ...................................................... |
For Office Use Only
Application received on ..................................Payment received on ...................../ in Cash/ By DD No. .............. of Rs. ........................
Bank Slip No. .................................................. Date ...............................
Approved by Executive Committee on...................................LM No. ............................
Secretary Treasurer
The Membership Fee May be remitted by Cheque/DD drawn in favour of 'Secretary, Rajasthan SociologicalAssociation Jaipur, Payable at Jaipur. The Membership fee is non refundable. Bank Details : ICICI Bank, Bapu Nagar, University Campus, JaipurA/c No. 674701414661 RTGS/NEFT/IFSC Code : ICIC 0006747, MICR Code 302229018
e-mail : rajsociologicalassociation@gmail.com RSA Website : www.rsraj.org