Tuesday, January 3, 2012

Subscription/ Membership From


Subscription/ Membership From

I wish to Subscribe to/renew my subscription to “SHODH PRERAK” a Multidisciplinary Quarterly Refereed Research Journal for 1year / 2years / 3years/ Life Member. A bank draft/ cheque bearing no…………………dated
For Rs./US $.......................................drawn in favor of Poddar Foundation, Bank of Baroda, SSL Hospital Building, BHU, Varanasi A/c No. 27790100018547, IFSC Code: BARBOBHUVAR. Towards subscription for………………years, is enclosed.

Please tick (√) appropriately the subscription details:
New/ Renewal Existing Subscription No……………………………..Category1year / 2years / 3years/ Life Member

Name:……………………………………………………………………………………………………………….
Degeneration:………………………………………………………………………………………………………
Institute:……………………………………………………………………………………………………………..
Address:…………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………

    Date:                                                                                                                                    Signature:

Subscription/ Membership Rate

Category
1year
2years
3years
Life Member
INDIA
Institutional (Rs.)
3000.00
5000.00
8000.00
20,000.00
Individual (Rs.)
2000.00
3500.00
5500.00
15,000.00
Student (Rs.)
1500.00
2500.00
4000.00
10,000.00
OTHERS COUNTRIES
Institutional
(US Dollar)
100.00
180.00
250.00
900.00
Individual
(US Dollar)
75.00
140.00
230.00
600.00
Student
(US Dollar)
50.00
90.00
120.00
300.00

Send this subscription form:  

To, 
Dr Shashi Bhushan Poddar
Tara Nagar Colony, Chhittupur, (BHU)
Varanasi-221005, U.P., INDIA
Mob No. 09415390515