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Membership Form: The Association of Mathematics Teachers of India

The document is a membership form for The Association of Mathematics Teachers of India. It requests information such as the type of member (individual or institutional), the name and qualifications of the applicant, their occupation and contact details, including address, phone numbers and email. It also requests payment details including the amount, bank, demand draft number and date.

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ebenesarb
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Download as PDF, TXT or read online on Scribd
6 views

Membership Form: The Association of Mathematics Teachers of India

The document is a membership form for The Association of Mathematics Teachers of India. It requests information such as the type of member (individual or institutional), the name and qualifications of the applicant, their occupation and contact details, including address, phone numbers and email. It also requests payment details including the amount, bank, demand draft number and date.

Uploaded by

ebenesarb
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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The Association of Mathematics Teachers of India

B-19, Vijay Avenue, Old No37, New No 85, Venkatarangam St., Triplicane, Chennai 600 005.

MEMBERSHIP FORM
(to be filled in English Capital Letters only)
Type of Member Institutional
Type of Member Individual

:
:

Name of the Applicant


(Individual / Institution)

Qualifications (if applicable)

Occupation

-do-

Date of Birth

-do-

E-mail

Address for Communication

Life (Rs.1000)
Life (Rs.500) / Annual (Rs.50)

:
:
District

State

Pin code

Phone (STD-Code) Office :

Residence :

Details of payment
Amount: Rs.

Bank :

DD no :

Date :

Place

Date

:
Received

(Signature of the applicant)


For office use
Entered

Sent

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