Application for Membership in Indian Gerontological Association
(an association devoted to research on ageing and well being of senior citizens)

 

Tell us About Yourself
First Name
Last Name
Educational Qualifications
Name of Occupation: 
Title   
Institution  
Interest in Gerontology
Permanent Address
Present Address 
TEL:  
Email     
Date of Birth 
Type of Membership
D.D Number and Bank Name

                                                                         

Annual Membership is Rs. 250/- and Life Membership is RS. 1000/-
(Please send only D.D.or M.O.) to Secretary, IGA , Jaipur. 
Mail To: Secretary IJA, C- 207, Manu Marg, Tilak Nagar, Jaipur 302004