|Name (in Capital
Professional Status and
(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.
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
Phone: 91-11-26562238, 26864776 E-mail: firstname.lastname@example.org