HomeExecutive Committee memberAustralian
Membership Form
Name (in Capital letters)

Mailing address

Professional Status and

Institutional address

Telephone nos.

E-mail
(Indicate residence and/or office)

Special interest in Australia

(Publications / Research / Teaching)

I wish to be enrolled as a life member of the Indian Association for the Study of Australia/ I wish to take a temporary membership. Enclosed is a cheque/draft no. _______________ dated _____________ drawn on ______________________________ for Rs. 3000.00 towards my life membership subscription / Rs. 500.00 for temporary membership. Subscription for overseas members is AUS $ 100.00(life members) and AUS $ 30.00 for temporary membership.

* Please add Rs. 100.00 as banking charges for outstation cheques.
* For foreign remittances, applicable charges are to be added.

Date Signature

Send to

Dr Meenakshi Bharat, Treasurer, IASA, C4/4103, Vasant Kunj,New Delhi-110070.
Cheques/drafts to be drawn in favour of ‘Indian Association for the Study of Australia’ (IASA).

Indian Association for the Study of Australia (IASA)
Address: Santosh Sareen, 6/10 Sarva Priya Vihar, New Delhi-110016, India
Phone: 91-11-26562238, 26864776 E-mail: santoshsareen@yahoo.co.in
 
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