Become a Life Member

The simplest way of helping with the activities of the Association, is to become a Life Member of the Association. Life membership costs only Rs. 2,000. Please indicate your willingness to join the association by completing the form or Fax the following information to the President (94-11-2856744).

Title
Name With Initials
Full Name
Home Address
Home-Phone Number
Home-Fax Number
Office Address
Office-Phone Number
E-mail

Address to which correspondence should be sent

Home office
Year of Graduation
Institution Year Course of study followed and degree obtained

For Associate Membership (please give details)

Membership Subscription (Life – Rs. 2,000.00) paid by:

Cheque Money Order Number

I certify that the above particulars are true and correct.