ISOL INDIVIDUAL MEMBERSHIP FORM

Please complete both sides of this form, typing or printing in capital letters.Use only English characters and abbreviate only if more than 40 characters and spaces per line. We regret that incomplete applications cannot be processed.

  1. NAME AND CONTACT INFORMATION

Please PRINT your name as you want it to appear on your membership card and ISOL Foundation correspondence. As a key identifier for the ISOL Foundation database, circle your last/surname.

PERSONAL INFO

Male_ Female_ Date of birth (Day/Month/Year) __/__/__

Title First/Given Name Middle Last/Family Surname

  • ,HOME ADDRESS

Street Address

City State/Province

Postal Code Country

Home Phone Home E-mail

  • BUSSINESS ADDRESS

Company Name Department/Division

Title Position Years in Position Years in Profession

Street Address City State/Province

Postal Code Country

Office Phone Office Fax Office E-mail

  1. ATTESTATION

I have graduated from a three-to-five-year academic program with a university-level degree.

Yes ■No

This program is in one of the following fields of study:

■Engineering

■Computer Sciences and Information Technologies

■Physical Sciences

■Biological and Medical Sciences

■Mathematics

■Technical Communications, Education, Management, Law and Policy

■Philosophy

Psychology

Management

Entrepreneurship

World Religion

Other (please specify): ______

This academic institution or program is accredited in the country where the institutionis located. ■Yes ■No ■Do not know

I have ______years of professional experience in teaching, creating, developing,practicing, or managing within the following field:

Engineering

Computer Sciences and Information Technologies

Social Sciences

Management

Philosophy

Psychology

World Religion

Entrepreneurship

Biological and Medical Sciences

Mathematics

Technical Communications, Education, Management, Law and Policy

Other (please specify): ______

  1. PLEASE TELL US ABOUT YOURSELF

Select the numbered option that best describes you. Please enter numbered selections in the boxes provided.

  1. PRIMARY LINE OF BUSINESS ------>

1. Independent researcher and consultants

2. Government Officials

3. Broadcast services (TV, cable, radio)

4. Transportation services (airline, railroad, etc.)

5. Computer and communications and data processing services

6. University, college/other educational institutions, libraries

7. Retired

8. Other______

B. Title------>

  1. Professor
  2. Dr.
  3. Mr./Ms.
  4. Other______

C. Principal responsibility------>

1. Teaching

2. Consulting

3. Education/Research

4. Retired

5. Other ______

  1. PLEASE SIGN YOUR APPLICATION

Signature Date

  1. Add ISOL Research Group Memberships (Optional)

The edifice of ISOL Foundation is built on the synthesis of sectarian beliefs. This harmony of religion is the spirit of the foundation. 20 ISOL Research Groups are created to draw insights from different wisdom traditions across various faith groups and integrate it with the leadership styles for creating non-violent, non-exploitative and sustainable organizations.

Please check (tick) the appropriate box.

 Vedanta & Indic Studies Group

 Biblical & Christian Studies Group

 Buddhist Studies Group

 Jainism Studies Group

 Zoroastrianism Studies Group

 Sikhism Studies Group

 Shinto Studies Group

 Judaism Studies Group

 Islamic Studies Group

 Baha’i Studies Group

 Sri Aurobindo Studies Group

 Artificial Cognitive Intelligence

 Tantra Studies Group

 Feminine Spiritual leadership

 Wisdom Network

 Spirituality & Health

 Traditional methods of Health & Well being

 Mathematics & Spirituality

 Family Values & Leadership

 World Religion & Inner Growth Process

  1. 2017 - 2018 ISOL FONDATION INDIVIDUAL MEMBERSHIP RATES

Membership is based on the calendaryear from April through 31stMarch.

Please check (tick) the appropriate box.

Residences / Life Membership / Annual Membership
Individual / INR 10,000
($210) / INR 4500
($75)
Student / INR 9000
($171) / INR 3500
($70)
Unemployed / INR 75OO
($140) / INR 2000
($39)
Retired / INR 6000
($116) / INR 1500
($24)

DISCOUNTS

  1. 30% discount in the registration fees of ISOL organized national and international conferences and workshops.
  1. 25% discounts on ISOL publications.
  1. PAYEMENT AMOUNT

The payment may be made by a demand draft in favour of “INTEGRATING SPIRITUALITY & ORGANIZATIONAL LEADERSHIPFOUNDATION” payable at Delhi India.

OR

Through Bank Transfer

Bank Name: STATE BANK OF INDIA

Bank Branch at: DELHI UNIVERSITY, DELHI

Account Name: INTEGRATING SPIRITUALITY & ORGANIZATIONAL LEADERSHIP FOUNDATION

Account No.:30886974732

Swift Code:SBININBB544

IFSC code: SBIN0001067

Signature Date