ANDHRA PRADESH ECONOMIC ASSOCIATION MEMBERSHIP FORM

Membership Form


 

To

The Secretary & Treasure
Andhra Pradesh Economic Association

 

Sir,

            I request you to enroll me as a Life/ Ordinary/ Associate member of the Andhra Pradesh Economic Association (APEA). The membership fee of Rs.750 / Rs.250 / Rs. 150  is paid herewith by Cash / Demand Draft bearing No.                            Dated:                    drawn on                    Bank.  I am furnishing below the full particulars.

         
Name :      
Qualification :      
Designation :      
Department :      
University/College   :      
Address / Office : Residence  :  
Phone Residence  : Office :  
e – mail   :      
     

 

Yours sincerely

Signature of the Member

 Date   :