INDIAN ASSOCIATION OF AQUATIC BIOLOGISTS (IAAB )

P.O.Box. 517, Putlibowli Post Office,

Jambagh, Hyderabad – 500 095, Andhra Pradesh, India.

Application for Membership

Name(Dr./Mr/Ms)________________________________________________________

Date of Birth ______________

Qualification ______________Designation __________________Specilization

Address (for correspondence) : .............................................................................………..............……....

.....................................................................................................…………………………………

...............................................................................PIN................…….....

Phone (Official STD……..............).........……..……………… (Residential)..………………….

Cell Phone : ………………………………………….

E-mail :_________________________________________________

Fax : __________________________________________________

I would like to enroll myself as member of IAAB in the category of Life / Ordinary / Institutional/ Corporate.

I am remitting the amount of Rs__________ by Cross Demand Draft (DD) in the name of the Secretary, Indian Association of Aquatic Biologists, Hyderabad.

Place : __________________

Date : __________________ Signature

Note : Please send the filled form with DD by ORDINARY POST to :

Indian Association of Aquatic Biologists (IAAB),

P.O.Box. 517, Putlibowli Post Office, Jambagh, Hyderabad – 500 095 (Andhra Pradesh).

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