ASSOCIATION OF MICROBIOLOGISTS OF INDIA

Membership Form 2013-2014

1. Name & Designation

: ________________________________________________________________
________________________________________________________________

2. Sex

: ________________________________________________________________

3. Date of Birth

: ________________________________________________________________

4. Academic Qualification
(Degrees/Honors/Awards etc.)

: ________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

5. Specialization

: ________________________________________________________________

6. Affiliation

: ________________________________________________________________

7. Address of correspondence

: ________________________________________________________________
________________________________________________PIN _____________
Tel:____________________________Fax:______________________________
Email ID:_________________________________________________________

8. Home address

: ________________________________________________________________
________________________________________________PIN _____________
Tel:____________________________

9. Payment of membership fee, Rs ____________________ by Cash/Demand Draft No __________________________

dated ___ /___ /_______ (DD/MM/YYYY) payable at Delhi in favor of Treasurer AMI enclosed.
I wish to become a Life/Annual Member of AMI with/without journal and if enrolled/elected agree to abide by its
rules and regulations

Signature
10. Sponsored by existing life member of AMI (Mandatory for LMs)

Signature
Name & Address of Life Member with membership number ______________________________________________
_______________________________________________________________________________________________

Membership Fee 2013-2014

Annual Member
Educational
Institution

Life Member

Corporate/
Industry

Overseas

Educational
Institution

Corporate/
Industry

Overseas

Membership Fee 200

500

$ 120 (USD)

2000

5000

$ 600 (USD)

Admission Fee

20

50

200

500

IJM

520 + 150 (postage)

$ 15 (USD)

A unit can retain admission fee of annual and life members and 50% of annual members fee. For forming a new unit a
minimum of 20 members is to be enrolled.
Please send subscription of AMI membership to Dr. D. K. Singh, Treasurer, Association of Microbiologists of India,
Department of Zoology, University of Delhi, Delhi-110007
Telephone: +91-11-27667191
Mobile: +91-9810258052
Fax: +91-11-27666423
E-mail: DILEEPKSINGH@GMAIL.COM
Please send subscription of IJM to Springer (India) Pvt Ltd, New Delhi payable at New Delhi at the following address
along with details of AMI membership - Springer (India) Private Limited, 3rd Floor, Gandharva Mahavidyalaya, 212,
Deen Dayal Upadhyaya Marg, New Delhi- 110 002.
Tel. No. 91 11 4575 5888
Mobile:+91- 9810460820
E-Mail: Alvin.Masih@springer.com
Visit Websites:

http://www.amiindia.info
http://www.springer.com/journal/12088
http://www.editorialmanager.com/injm/