APPLICATION FORM FOR ASSOCIATE MEMBER

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Category: (D) Individual Members
Category:
Membership is effective upon receipt of complete application form and appropriate fee. The membership is active for twelve months thereafter.
Annual subscription fees payable.
Student Free
Indian Professional Rs. 2000
NRI Professional US $ 50
Foreign Professional US $100
 
PERSONAL DETAIL:
Name  
Postal Address  
   
   
Telephone     Fax  
E-mail
        
For student   U.G.
  P.G.
  Ph.D.
      
   Others (Please specify)
      
 
Collage/University/Organisational Details:
Name  
Address  
   
   
Telephone   Fax  
E-mail      
 

Signature		   Date  


Please return completed form to the address below along with the annual subscription fees paid by cheque/DD made in favour of ASSOCIATION OF BIOTECHNOLOGY LED ENTERPRISES.

ABLE Secretariat
No. 13, 2nd Floor, 4th C Block, 10th Main Road, Koramangala, Bangalore - 560034, India.

Telephone:
E-mail:
Website:

ableindia.org