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NUCAR-2023

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Join IANCAS : LIFE-MEMBERSHIP FORM

Fields marked * are mandatory

Initial :
First Name* :
Middle Name :
Last Name* :
Designation :
Date of Birth* :
Mailing Address :
Pincode :
Mobile * :
EmailID - Office :
EmailID - Personal* :
Photo* :
(75 x 100 Pixels)
(Only .JPG)
Academic Achievement :
Degree Obtained University / InstituteYear
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Member of National and International Academic Body :
Professional Experience:
Employer Title of position or dutiesExperience
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Your City* :
Contribution Paid (INR)* :
Transaction Proof* :
(Scan copy of cheque/Scan copy of DD/ NEFT transaction print)
(Only JPG file)

IANCAS only receives payment through the following route

The Life-membership fee for Indian Nationals : INR 1,000/-

Valid crossed Cheques
---in favour of IANCAS payable at Mumbai. Additional Rs. 100/- is to be paid by the payee for the outstation cheque (i.e. cheque from the place other than Mumbai).
Demand Drafts
---in favour of IANCAS payable at Mumbai
Postal address for cheques and demand drafts :
Secretary
Indian Association of Nuclear Chemists and Allied Scientists (IANCAS)
C/o Radiochemistry Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085.
Phone: +91-22-25596182
Email: secretaryiancas@gmail.com

PLEASE SEND ONLY BY SPEED POST AND NOT BY COURIER since COURIER IS NOT ALLOWED INSIDE BARC.
Direct electronic transfer. (the most preferred method)
Name of the Bank: State Bank of India, BARC Branch, Branch Code 1268, Trombay, Mumbai-400 085, India.
Beneficiary: IANCAS
Account No.: 00000035044250950
IFSC Code (For NEFT): SBIN0001268
Credit Card transaction is not accepted.
I have filled up the form in my full conscious and awareness. The informations declared in the form are all correct.

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