Login

Lost your password?
Don't have an account? Sign Up

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

MEMBERSHIP AND SUBSCRIPTION FORM

SHIKSHAK SHIKSHA SHODH PATRIKA (ISSN0974-0562)

To,

Dr.Karunesh Tewari
Chief Editor
Shikshak Shiksha Shodh Patrika
231,Kashmiri Mohalla, Sahabganj
Faizabad (224001) UP, India

Dear Sir, 

I wish to enroll myself as a Life Member/Annual Member of the Shikshak Shiksha Shodh Patrika (ISSN 0974-0562). I remit Rupee/US $ (in words) ……………………………………by Demand Draft No. ……………………date ……………………of ………………………Bank in favor of the Soumya Publishers & Distributors , Faizabad as membership and admission fee for the year…………. .

I agree hereby to abide by the Rules and Regulations of the Journal.

Yours faithfully 

Name (in Block letters) ………………………………………………….
Designation ………………………………………………….
Date of Birth ………………………………………………….
Area of specialization ………………………………………………….
Address (in Block letters) ………………………………………………….
City …………………………………..
Pincode …………………………………….
Recent photo. Tel. ……………………….
Fax ………………
E-mail ……………………………..
Mobile No ……………………………….
Proposed by Signature & Name …………………………
Address …………………………………….
Seconded by Signature & Name …………………………
Address …………………………………….
Applicant Signature

Annual Membership Rs. 1000.00 US $ 40.00 Life Membership** Rs. 10,000.00 US $ 400.00 Instt. Subscribers/ Agencies Rs. 5,000.00 US $ 200.00 Processing charges,Rs.200 per page Abstract printing charges ,Rs.500 per abstract