Life/Annual/Student Membership Form

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Name(Required)
DD slash MM slash YYYY
Mailing Address(Required)
Email Address(Required)
Qualification
Year
Institution / University
Post Held
Duration
Name of Employer
Name of Work
Name two referees who are fellows/members of the Society and will support or are supporting your candidature (if an ISET member is not locally available, give names of two referees who can testify to your qualifications etc.)
Name 1(Required)
Name 2(Required)
I desire to become as Life Member/ Annual Member/ Student Member of the Indian Society of Earthquake Technology. I promise to abide by the Constitution and Bye Laws of the Society and offer my cooperation in promoting its objective.
Name(Required)
DD slash MM slash YYYY
Max. file size: 1 MB.
Max. file size: 1 MB.