Join ISEAC

Login

Payment Details for Life Members

The Life-membership fee for Indian Nationals: Rs. 4000/- (four thousands rupees only),
For others: € 300/- (Euros Three Hundred only) w.e.f. April 1, 2011.

You are requested to e-transfer the Life-Membership fee to the Society account before filling up this form. The details required for the e-transfer is available below:

The direct electronic transfer details are given below: Name of the Bank: State Bank of India, BARC Branch, Branch Code 1268, Trombay, Mumbai- 400 085, India.
Beneficiary: Indian Society for ElectroAnalytical Chemistry (ISEAC)
Address of Beneficiary: Fuel Chemistry Division, Bhabha Atomic Research Centre, Trombay, Mumbai – 400085, India.
Account No.: 34209997299
BIC (Swift Code): SBININBB 508
IFSC Code (For NEFT): SBIN0001268

Fileds marked * are mandatory

Member Category * :

Salutation * :

Full Name * :

DOB * :

Office Address * :

Office Tel * :

Email * :

Alternate Email :

Residential Address * :

Mobile * :

Present Designation * :

Field of Interest :

Orcid ID:

Google Scholar ID :

PassportSize Photograph *
Choose File Formats Allowed : JPG/JPEG
SIZE must be 75 X 100 pixels:

Nationality* :

Bank Transaction Id * :

Date Of Payment *:

Name Of Bank from where Money has been transferred *:

Amount Transferred *:

Currency *:

Transaction Document*
Choose File Formats Allowed : PDF/DOC/DOCX/JPG/JPEG

* I have filled up the form in my full conscious and awareness. The informations declared in the form are all correct.