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OPERATIONAL RESEARCH SOCIETY OF INDIA

39, Mahanirvan Road, Kolkata-700029, India. Phone: 91-033-24644213
e-mail: ; URL: / Photograph
(stamp size) / For office use:
Membership No.
…………………
Receipt No.
…………………
Date: / /20

APPLICATION FORM FOR MEMBERSHIP OF THE SOCIETY

Addressed to: Honorary Secretary, ORSI

PLEASE FILL IN THE FORM USING CAPITAL LETTERS (except for the e-mail and signature) OR TYPE. (THANKS)
Please
tick /

INDIVIDUAL MEMBERSHIP

/ -
- / INSTITUTIONAL MEMBERSHIP / Following person is the institutional representative
Annual / Life / Student / Institutional / Corporate
§§§§§§§§§§ Name of the individual member / Institutional representative (Please write the name in full form.) §§§§§§§§§§
Title, if any
Dr./Prof. etc. / First
name / Middle
name / Last
name
Date of birth (dd/mm/yyyy) / - / - / \\\\\\\\\\\\\\\\\\\ / Please tick / Male / Female
Postal address (Office) / Postal address (Residence)
Phone / Fax / Phone / Fax
e-mail / e-mail
Please tick communicating address / Office / Residence /

Affiliation with chapter* at……………………. or HQ

QUALIFICATION**

ACADEMIC

/ GRADUATE LEVEL / POST GRADUATE LEVEL
STREAM
INSTITUTION
YEAR OF
PASSING

PROFESSIONAL

/ DIPLOMA/CERTIFICATE / OTHERS
COURSE
INSTITUTION
YEAR OF
PASSING
**Please enclose a photocopy of the graduation certificate / mark sheet.
For Institutional Membership:
Name of the organisation:
Postal address / Electronic Address
Phone
Fax
E - mail
Recommendation by an existing member / Declaration by the applicant / Details of Draft***
Admission to the membership will be in the interest of furthering the objectives of ORSI. / Statements incorporated herein are all true and I agree to abide by the Constitution of the ORSI as now formed or altered hereafter. / Draft No.
Date:
Amount:
Bank:
Branch:
Name:
Membership No.
Signature & Date / Signature & Date****
* List of chapters indicated overleaf.
*** To be drawn in favour of “Operational Research Society of India” payable at Kolkata.
**** Please use official seal of authorized signatory in case of institutional membership. / Life members willing to have identity card may please provide:
Specimen Signature in black ink
/ Photograph
(Stamp size)

LIST OF CHAPTERS

The following is the list of township where chapter of Operational Research Society of India is operating at present.

Agra; Ahmedabad; Ajmer; Bangalore; Chennai; Delhi; Durgapur; Jamshedpur; Kolkata; Madurai; Meerut,Mumbai and Tirupati.

RATE OF MEMBERSHIP SUBSCRIPTION

A: RESIDENT MEMBERS IN INDIA

Member / 600/- (per calendar year)
Student member / 300/- (per calendar year)
Life Member*
i) Below sixty years
ii) Sixty years or above / 6,000/- (lump sum)
3,000/- (lump sum)
Institutional Member / 6,000/- (per calendar year)
Corporate Member / 60,000 (lump sum)
Entrance fee / Nil

*Life member, willing to have laminated identity card, is to pay further200/- along with the application.

B: OVERSEAS MEMBERS

i) / Life Member / US $600 (lump sum)
ii) / Member / US $60 (per calendar year)
iii) / Institutional Member / US $500 (per calendar year)
iv) / Corporate Member / US $5,000 (lump sum)

Note:The members enrolled on and from 01 January 2014 will be provided free access to electronic version of the journal OPSEARCH, by default. A member interested to have the printed copy additionally, will be required to pay additional subscription for each volume, as decided by the Society from time to time.