GWALIOR ACADEMY OF MATHEMATICAL SCIENCES

 

Head Office: School of Mathematics Allied Sciences, Jiwaji University, Gwalior .

 

Application Form for Life/Donor Membership

 

 

Name

 

Date of Birth

 

Designation

 

Address (Official)

 

 

 

Phone                                                        Mobile

 

Email

 

Address (Residential)

 

 

 

Phone  No.

 

Qualifications

 

 

 

Details of Research Publications

 

 

 

 

Areas of Interest

 

 

Type of   Membership                               Life/Donor       Rs2000/-(age upto 60 years)

                                                                                            Rs 1000/-(age above 60 years)

Any other Details

 

 

 

Date                                                                                                                 Signature

                                                                

 

 

For Official Use

 

 

 

Received  Rs.                                        In cash/ by DD/Bank draft No

                                                           

                                                                        .                                          

Dated                                                   towards Life/Donor membership of GAMS.

 

   

 

 

 

Date                                                                                                                 Signature

 

 

 

*Note-DD should be payable to Gwalior Academy of Mathematical Sciences, Gwalior 

Fees for Life/Donor membership at present is Rs 2000/- up to  the age of 60 years

And Rs 1000/- above the age of 60 years