APPLICATION FOR MEMBERSHIP OF
AFRICAN STUDIES ASSOCIATION OF INDIA (ASA)
(Application can be submitted by printing and filling in this form)
To,
The General Secretary,
AFRICAN STUDIES ASSOCIATION OF INDIA
I/We wish to join ASA and agree to abide by the rules and regulations of ASA.
Brief particulars concerning me are as under:
1. *Name:………………………………………………………………
2. *Nationality:.………………………………………………………..
3. *Date of Birth:……………………………………………………….
4. *Address:…………………………………………………………….
…………………………………………………………………………………………
5. *Telephone Nos.: (Off.)………………………………..
(Res.)………………………………..
Fax No.:……………………………..
Mobile.:……………………………..
*E-mail……………………………….
6. *Occupation:……………………………………………………………..
7. *Details of Educational and Professional Qualification:……………………………………
…………………………………………………………………………………………………………………..
8. Experiences in Profession:……………………………………………………………………………
……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………....
9. Category of Membership applied for: (Life Member/Member/Associate Member/ Institutional Member):…………………………………………………………………………..
10. Mode of payment of fees ……………………………………………………….
Bank……………………Cheque/ Draft No………………….Date……………………
Indian Membership fees:
Admission Fees : Rs.500/- (one time only)
(One Time)
Life Members : Rs. 50000/- for life (Plus Admission fees Rs.500)
Members : Rs. 2500/- per financial years, Minimum two years (Plus Admission fees Rs.500)
International Members
Common Admission Fees: US$25 (one time only for all category of members).
For Life Member: US$1500 (Plus Admission Fee US$25).
For Annual Member US$ 75/ financial year, Minimum two years (Plus admission fee of US$25)
(All categories of latest membership fees are to be checked from ASA website which is changed from time to time by EC of ASA)
11. Name and Address of two Proposers who are full members of ASA:
(i) ……………………………………. (ii) …………………………………….
……………………………………. ……………………………………
……………………………………. ……………………………………
Signature of Prosper Signature of Seconder
DATE & SIGNATURE OF THE APPLICANT
N.B.: Please attach separate sheets wherever required.
FOR OFFICIAL USE
EC Decision:……………………………………………….
Date of Admission ………………………………………..
Date……………………………………………………….
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