The Association of Microbiologists of India (AMI)
(Estb 1938)
(Celebrating 75 Years of Excellence in Promoting Microbiology)
(2018-2019)
APPLICATION FOR MEMBERSHIP (2018-2019)*
(*AMI reserves the right to grant membership to any individual or institution, which cannot be considered as right or claim, by Filling and signing membership form the Members endorse that they will follow the rules and regulations of Membership and decisions by AMI under AMI Rules and Regulation decided by Central Council and General Body of Society. Failing which their membership will be ceased).Foreign nationals before applying for membership should make enquiry to Treasurer’s office and donot deposit the payments till receive reply from AMI office.
This form must be filled by TYPING and send as WORD DOC by email to (Prof. Sunil Pabbi, Treasurer, AMI) () cc to Prof. P. Shukla (). A Hard copy duly signed may be sent only by SPEED POST to PROF. SUNIL PABBI, Treasurer, Association of Microbiologists of India, CCUBGA, DIVISION OF MICROBIOLOGY, ICAR - INDIAN AGRICULTURAL RESEARCH INSTITUTE
NEW DELHI- 110012, along with scanned copy of the bank transfer voucher/slip as the proof of payment made.
Please send subscription of INJM to Springer (India) Pvt Ltd, New Delhi payable at New Delhi at the following address along with details of AMI membership ‐ Springer (India) Private Limited, 3rd Floor, GandharvaMahavidyalaya, 212, DeenDayalUpadhyayaMarg, New Delhi‐ 110 002.
Tel. No. 91 11 4575 5888 Mobile # 9810460820 E‐Mail:
Visit Websites: http://www.amiindia.info
http://www.springer.com/journal/12088
http://www.editorialmanager.com/injm/
Annual Membership / Life Membership
Individual (University/Research Institute) / Corporate/ Industry / Overseas / Individual (University/Research Institute/Govt. Organizations) / Corporate/ Industry / Overseas
Membership Fee / ₹ 500 / ₹ 1000 / $ 120 (USD) / ₹ 3500 / ₹ 5000 / $ 600 (USD)
Admission Fee / ₹ 50 / ₹ 100 / ₹ 350 / ₹ 500
TOTAL / ₹ 550 / ₹ 1100 / $ 120 (USD) / ₹ 3850 / ₹ 5500 / $ 600 (USD)
INJM / ₹ 520 + ₹150 (postage) / $ 15 (USD)
Payment: Payment must be made only by bank transfer as per details are given in next page.
Family name ______First name ______Middle initial ______
Title ÿ Prof. ÿ Dr. ÿ Mr. ÿ Ms.
Organization______
Address for correspondence (with PIN code): ______
______
______
Email:
Tel with code______(O)______(R) ______(M) Fax ______
Sponsored by existing life member of AMI (Mandatory for LMs)
Signature with date
Name and address of Life member with membership No.
Educational qualifications
Degree Year University

Professional experience From To Organization

Area of specialization:

Research/Teaching experience in years

Publications (please give numbers only):

Books
Chapters in books
Review papers (in SCI journal only)
Original papers (in SCI journals only)
TOTAL

Awards/honours/distinctions

Payment detail- attach the scanned copy of bank transfer slip (MANDATORY)
Name of bank ……………………………………………………………………………………………………………………………………………………………………………..
Amount paid………………………………………………Date………………………..Bank transaction/NEFT/Ref no……………………………………………...
Declaration: I certify that the above information is true and is furnished to become a member of the AMI. I agree to abide by the rules and regulations of the AMI and will abide decisions of CC and GB of AMI.
Place & Date
Name
PAYMENT: Payment must be made by bank transfer only for which details are as below:
Name of Bank Account:Treasurer, Association of Microbiologists of India(AMI), Purpose: AMI Membership
Bank Name:STATE BANK OF INDIA,
Bank Account number:00000033808128351
Bank Branch:University Of Delhi ,Branch Code: 001067.
Bank Address:University of Delhi, Distt- Delhi, Delhi 110007
Bank City:NEW DELHICountry: INDIA, IFSC CODE:SBIN0001067,
MICR CODE: 110002030
SWIFT code:SBININBB544