Membership Form

Membership Application

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USI Membership Application

Membership Plan *

Sub-Category / Fee *

Personal No (IC No.) *

Rank

Name *

Decorations

Service Status *

Service *

Service Proof * (PDF, JPG, PNG | Max: 2MB)

Appointment (If Serving)

Date of Birth *

Date of Commission / Batch / Course

Date of Retirement

Address

Address (Office / Unit)

Address (Residential) *

Address (Permanent) *

Email *

Telephone (Office)

Telephone (Residence)

Mobile *

I also wish to enroll for the following course:
DSSC (Army) TSOC (Army) OPSC (Army) DSSC/PME (Navy) DSSC (IAF) Part 'B' Part 'D'

Any other information (e.g. expertise / important courses / appointments)

Photo / Proof of Identity * (PDF, JPG, PNG | Max: 2MB)

Application for Special Member (Civilian)

Name *

Profession

Permanent Address *

Address / Contact *

Email *

Telephone (Office)

Telephone (Residence)

Mobile (Cell) *

Identity Proof * (PDF, JPG, PNG | Max: 2MB)

Credentials for Special Member (Civilian)

Bio Data * (PDF, JPG, PNG | Max: 2MB)

Note:

1. One time Membership Fee (10 years subscription) will be paid when called for.

2. I undertake to abide by the Rules and Bye Laws of the Institution.

3. My identity proof is attached.

4. Credentials for Special Member (Civilian) (Att Bio Data also).

Application for Associate Membership

Name *

Profession

Permanent Address *

Delhi Address / Contact *

Email *

Telephone (Office)

Telephone (Residence)

Mobile (Cell) *

Identity Proof * (PDF, JPG, PNG | Max: 2MB)

Credentials for Associate Membership

Bio Data * (PDF, JPG, PNG | Max: 2MB)

Note:

1. Registration fee of Rs. 3,000/- and 3 years subscription of Rs. 7,000/- will be paid when called for.

2. I undertake to abide by the Rules and Bye Laws of the Institution.

Application for Corporate Membership

Mission / Firm / Organisation Name *

Select Period *

Contact Person *

Contact No. *

Email *

Address *

A writeup about your mission / organisation giving area of business, directors name, etc. *

Directors / Nominated Members Details

Name *	Appointment	Address *	Tele No	Email *

Note:

1. Entrance Fee of Rs. 2,00,000/- for two years or Rs. 5,00,000/- for five years is enclosed with this application.

2. We undertake to abide by the Rules and Bye Laws of the Institution.

Temporary Library Membership Application (Research Students)

(For Reading & Reference Only – No Book Issue)

1. Applicant Details

Full Name (in Block Letters) *

Father's / Mother's / Guardian's Name

Date of Birth *

Gender

Nationality

2. Academic Details

Name of University / Institution *

Department / Faculty

Course / Programme (PhD / MPhil / MA / MSc / Others)

Research Topic / Area of Study

Student ID Number

Copy of Student ID * (PDF, JPG, PNG | Max: 2MB)

3. Contact Details

Residential Address *

Mobile Number *

Email ID *

4. Membership Details

Type of Membership

Period From

Period To

Mode of Payment

Fee Payable: ?500/-

Recent Passport Size Photograph * (PDF, JPG, PNG | Max: 2MB)

5. Declaration

I hereby declare that the information furnished above is true and correct. I undertake to abide by the rules and regulations of the USI Library. I understand that this membership permits access for reading and reference only and that no books shall be issued. The membership is valid for 30 days and may be renewed on payment of the prescribed fee. *

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Membership Application