Online Membership Application

Society for Promotion of Science & Technology in India

Registered at Panchkula under the Societies Registration Act, 1860, vide No. 80/2009
& now revised registration under the Haryana Registration and Regulation of Societies
Act, 2012, vide No. HR 001-2013-00099
Application Form for Membership
Membership Details
Type of Membership*
Selected the type of Membership and Pay the amount accordingly.
Membership Fees*

Fill the amount as per the membership type
Total Fees Payable
₹ 0.00
Applicatant Details
Applicant Name*
First Last
Use - if no last name available
Father's Name*
First Last
Use - if no last name available
Date of Birth*
Date Format: DD slash MM slash YYYY
PAN Number*
Aadhar Number*
Mobile Number*
Without Country Code 10 Digits Only
Other Contact Number*
Without Country Code 10 Digits Only
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Academic & Work Profile*
Professional Affiliations and Honours.
Are you or have you been a member / office bearer of an NGO?
The role I would like to play as a member of the Society, if admitted.
Other Information
Upload Resume
Accepted file types: pdf.
A pdf file of max 1 MB only.
My Membership has been proposed & recommended* by (Please mention the name), who is a Life/Ordinary Member of the SPSTI.

Membership Details