INDIAN PSYCHOSOCIAL FOUNDATION
 
   INDIAN PSYCHOSOCIAL FOUNDATION
         
IJPS >
IJPS April 2011
IJPS October 2011
IJPS April 2012
IJPS October 2012
IJPS April 2013
IJPS October 2013
IJPS Apirl 2014
IJPS October 2014
IJPS Apirl 2015
IJPS Apirl 2016
IJPS October 2016
IJPS Apirl 2017
 
 
 
 

 

                                                Membership Form
INDIAN PSYCHOSOCIAL FOUNDATION
 
Membership Fee:
Active Member (Life Time)                                     Rs. 5000/-
Active Member                                                         Rs. 1000/-
Associate Member (Life Time)                                Rs. 3000/-
Associate Member                                                   Rs. 800/-
On Line Member (Life Time)                                  Rs. 500/-
On Line member                                                       Rs. 100/-
           
Name……………………………………………………………………………………....
 
Designation Prof/Dr/ Mr/ Mrs…………………………………………………………..
 
Address……………………………………………………………………………………
 
City     …………………..Pin Code   …………………State…………………………….
 
Ph …………………………………………………………………………………………..
 
E-mail……………………………………………………………………………………....
 
Payment Details Rs……………………………………………………………………...
 
TotalAmount/Inwords……………………………………………………………………
 
Demand Draft/Cheque No……………………Date…………………………………….
 
Issuing Bank………………………………………………………………………………
 
(Only multi city cheque will be accepted)
 
Demand draft/ cheque to be drawn in favor of “Indian Psychosocial Foundation payable
at Varanasi.”
 
 
                                                                                                            Signature of Member
Kindly post this form to :                                                                              
A-5, 5/140 Sanjaynagar Colony Aktha Chauraha Pahariya Varanasi. 221010.
ph9450739232
Website www.ipsf.in