InCerS

Indian Ceramic Society

Care: CSIR-CENTRAL GLASS & CERAMIC RESEARCH INSTITUTE
KOLKATA-700032 (INDIA)
Phone: +91-33-2413 8878
E-mail: incers1928@gmail.com
Website: www.incers.org

APPLICATION FOR STUDENT MEMBERSHIP (Full Time PhD Student)
I desire to become a Student Member of the Indian Ceramic Society.
I furnish the following information concerning myself. I promise that, if admitted, I will be bound by the Constitution of the Society and will endeavour to promote its aims and objectives.

Name of Applicant
(in block letters)

Date of Birth

Subject of PhD

Year of Registration

Certificate of Registration

Name of the Institution

Department

Address of the Institution

Dist

State

Mobile (Whatsapp)

Email (Personal)

Signature of the Applicant:

Date:

Name of the Supervisor

Mobile

Signature of the Supervisor:

Date:

Name of the Proposer

Email Id

Mobile

Signature of the Proposer:

Date:

On admission, persons resident in a Chapter area automatically also become members of that Chapter of the Society

Admission Fee: Rs 100/- + Annual Subscription: Rs 700/-** [+18% GST]; Total: Rs 944/-
(**up to 7 years (max) from the year of registration)
Our GSTIN: 19AAATT7382E1Z6

Payment may kindly be made by (i) Online Payment
(ii) Online Bank Transfer

Tr. Id./UTR/Bank Ref./Online Payment Transaction ID.

Beneficiary:	The Indian Ceramic Society
Bank Name:	Bank of Baroda
Bank Account no.:	08560100007854
Branch:	Jodhpur Park, Kolkata
Branch Code:	JODCAL/0856
Bank Code:	012
IFSC & RTGS Code:	BARB0JODCAL (Fifth Character is Zero)
MICR Code:	700012018
SWIFT Code:	BARBINBBIBB