Indian History Congress

APPLICATION FOR INITIAL/INSTITUTIONAL/LIFE MEMBERSHIP* (See the Eligibility Conditions and Procedure overleaf before filling up this Form)

For Office Use Only

Membership No..

Two Self-attested copies of the applicants photographs, one of which is to be pasted here. Staple the other photograph on this page

All applicants may please sign the declaration overleaf. Initial Membership fee : Rs. 250 : Rs. 1000 Renewal Fee Life Membership Fee : Rs. 200 : Rs. 4000

Institutional Membership Fee

Payment for membership will be accepted only through Cash/DD/PO/MO

1. Name in full (Capital letters) 2. Academic Qualifications (**).. 3. List of publications, if any (Attach separate sheet, if necessary). 4. Occupation/Academic Designation and name and address of institution where working:. . 5. Date of birth Note: Members applying for Life membership need not fill column nos. 2, 3, 4 & 5 but should give their Ordinary membership No. here: 6. Address for correspondence (in capital letters only) . . Code State. Pin

7. Amount paid through Draft/P.O./Money Order: Rupees. Details of the Draft/P.O. No..drawn on (Banks Name).... Delhi/New Delhi*** Note: Draft/P.O. to be enclosed with the form. In case of M.O. remittance, it will be helpful if a Xerox copy of Post Office receipt is enclosed. Draft & P.O. to be drawn in favour of Indian History Congress crossed A/C Payee Only.

8.

For Initial Membership Proposed by (Name with Address).. Signature. Years of Membership Membership No... Seconded by (Name with Address).. Signature. Years of membership ..Membership No (Applicants Signature)..

Date * ** *** Strike out whichever is not applicable. Ordinary membership has to be renewed annually. Nonmembers cannot apply for Life Membership. See Eligibility Conditions overleaf. Give name of bank here in case of Bank Draft. Leave space blank in case of Postal Order
LAST DATE FOR INITIAL ENROLMENT THIS YEAR 28TH OCTOBER 2013

Institutions applying for membership fill column nos.1,6 only

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ELIGIBILITY CONDITIONS FOR INITIAL MEMBERSHIP An application for initial membership will be accepted if the applicant (a) holds at least a post-graduate degree in History or is undertaking research leading to M.Phil/Ph.D. degree in an allied field or (b) has published a book or an academic paper on a historical theme (full reference to be provided). Note: The Secretary is authorized to reject an application if none of the above criteria is met, provided that an appeal for review of the decision may be made by the applicant to the Executive Committee, which may consider it either at its next meeting or by correspondence. DECLARATION

1, .hereby declare that the particulars given in this application are correct to the best of my knowledge. (Signature of the Applicant) Date.. PROCEDURE FOR INITIAL ENROLMENT

An application for initial membership shall have to conform to the following procedure: (i) Application shall be made on a form prescribed by the Executive Committee (ii) Each application form must be accompanied by (a) self-attested copies of document/s in support of the eligibility conditions which have been specified above; and (b) two self-attested photographs (passport-size) of the applicant; one of which is to be pasted on the form, and the other stapled to it. (iii) The name of each applicant is to be proposed and seconded by existing Ordinary or Life Members. Only such members of the Association as are eligible for holding office and participating in the Business Meeting of the Association under Clause 5(b) of the Constitution can propose or second an application for initial membership. However, this will not apply to the Representatives nominated by the Governments, Universities and other Institutions recognized by the Congress. Incomplete applications are liable to be rejected. In case of any difficulty or doubt please feel free to write to Professor S.Z.H. Jafri, Secretary, Indian History Congress, Department of History, Social Science Building, Delhi University, Delhi-110007

(iv) Note:

Please post this form with requisite enclosures to:

Professor S.Z.H. Jafri Secretary
Indian History Congress Department of History Social Science Building Delhi University Delhi-110007

Money orders may please be sent to the following addressees Dr. (Mrs) Tripta Verma, Treasurer, Indian History Congress, Department of History, Social Science Building, Delhi University, Delhi-110007

Any dispute regarding membership will be subject to the jurisdiction of the court at Delhi.