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Membership Form

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Membership Form

Name(in block letters) :

Father's Name :

E-mail :

Phone No :

Date of birth :

Place of birth :

Address :

Educational Qualification :

Special Choice, if any :

Whether interested in any stream of Oriental Heritage, if so, which subject :

Name of the book, if published :

Date of the publication, if published :

Membership Type :

Payment Mode :

Bank Draft in favour of Indian Institute of Oriental Heritage payable at Kolkata.

I hereby declare that i shall abide by all the Rules and regulations of Indian Institute of Oriental Heritage. The above statements are true to the best of my knowledge and belief.