INDIAN POLITICAL SCIENCE ASSOCIATION

Application for Membership Life. Ordinary 2. Male/Female: .

Renewal of Ordinary Membership 1. Name: (with title, e.g. Dr./Prof. Mr. /Ms.)

3. Designation and Office Address: (If retired, last address)

4. Mailing Address:

5. Telephone (with STD code): Office: Residence:.. Mobile No. E-mail:. Fax No. 6. Payments being made: Ordinary membership Renewal thereof : Rs. 100/Life membership :Rs.1000/- (US $ 300)
Payment can be made by Cash, M.O., Demand Draft, or Cheque. Please add Rs. 50/- in case of cheque for collection charges. Demand Draft may be drawn in favour of General Secretary & Treasurer, Indian Political Science Association, on any scheduled bank at Jaipur.

Please indicate as appropriate: Cash: M.O. Draft Cheque . . NoDtBank NoDtBank Signature Please return this form and your payment to the General Secretary & Treasurer, Indian Political Science Association, P-7, University Campus, University of Rajasthan, Jaipur

Date:.