Membership Form

Application for Membership


The Secretary
Indian Virological Society
F-1, National Societies Block
NASC Complex, Pusa
DPS Marg, New Delhi-110 012

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I wish to enroll as annual / life / patron member of the Indian Virological Society. I will abide by the rules and regulations of the Society as in force from time to time. I enclosed prescribed membership fee payable to Indian Virological Society at New Delhi as detailed below:
Amount (in figures ):

Amount (in Words):   
Payment type:           



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For the use of Indian Virological Society Office Only

Proposed by:
Name Signature Date
Seconded by:
Name Signature Date
Individual Membership Fee:
Regular Member Student member Regular Member Student member
Annual Membership Rs. 2500 Rs. 1000 US $ 100 US $ 50
Life membership Rs. 6500 - US $ 200 -
Note:1. Payment in cash or by demand draft drawn in favor of Indian Virological Society at New Delhi
2. A admission fee of Rs. 100.00 should be added for a new member.
New Delhi, dated
Membership No.
Received Rs./US$ (in figures and words) :