Scribd
Upload
44 views

Global Educational Research Association: Office

This document is an application form for individual membership in the Global Educational Research Association (GERA). It requests basic contact information from applicants such as name, date of birth, gender, educational qualifications, designation, experience, institution, addresses, contact details, and a declaration affirming the truth of the information provided. It specifies that the life membership fee is Rs. 2000 for Indians and USD 100 for foreigners, payable by cash or demand draft to GERA. It provides instructions to send the completed form and draft to the President of GERA at a specified address in Punjab, India.

Uploaded by

Venkat Chadalavada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
44 views

Global Educational Research Association: Office

This document is an application form for individual membership in the Global Educational Research Association (GERA). It requests basic contact information from applicants such as name, date of birth, gender, educational qualifications, designation, experience, institution, addresses, contact details, and a declaration affirming the truth of the information provided. It specifies that the life membership fee is Rs. 2000 for Indians and USD 100 for foreigners, payable by cash or demand draft to GERA. It provides instructions to send the completed form and draft to the President of GERA at a specified address in Punjab, India.

Uploaded by

Venkat Chadalavada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

GLOBAL EDUCATIONAL RESEARCH ASSOCIATION

(Registered Under Societies Registration Act 1860)


(Regn. No. 151 of 20111-12, Chandigarh)
H.O.: Global Educational Research Association, Department of Education and C.S.,
Punjabi University, Patiala (Punjab) India-147002
Website: www.thegera.in / e-mail: [email protected]

APPLICATION FOR INDIVIDUAL MEMBERSHIP


Life Membership: Rs. 2000/- (Indian) / USD 100 (Foreigner)
Mode of Payment: Cash /DD

Donor Member:_________

GERA Receipt/DD No.:_____________Date: __________

Bank (if DD): _____________________________________________________ Place: _______________

Name(in Block Letters): _____________________ _____________________ ______________________


Surname

Date of Birth: _______________ __________

Middle Name

First Name

Gender: Male / Female

Educational Qualification: _____________________________________________________


Designation: _________________________ Experience: _____________________________
Institution/Organization: ______________________________________________________
________________________________________________________ Pin Code: ______________
Residential Address: ___________________________________________________________
__________________________________________________________________________________
City: __________ State: __________ Country: __________ Pin/Zip Code: ___________
Contact Details.: ISD Code ____________ Mobile: _______________________________
Office (with STD code) : _________________ Resi. (with STD code): __________________
E-mail:____________________________________ Website: ___________________________
Declaration:
I hereby solemnly affirm that the information provided in this document is true to the
best of my knowledge.

Date:_____________
Place: ____________

Full Signature of Applicant

Draft to be drawn in favour of Global Educational Research Association payable at


Jalandhar.Application form along with membership fee Draft to be sent to President,
Global Educational Research Association, Faculty of Education & Humanities, Lovely
Professional University, Phagwara, Punjab (India) Pin Code-144806.
Date of Confirmation of Membership:_____________________ Membership No.: ______________________

Treasurer

General Secretary

You might also like