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The Application Form | Types of Memberships

Application Form For Membership

You can fill application form and submit it. Fees can be submitted along with the documents where required by post/courier to Honorary Secretary, Bombay Natural History Society, Hornbill House, Dr. Salim Ali Chowk, Shaheed Bhagat Singh Road, Mumbai:400023.

You can also download the form which is in the PDF format.
Click here to download. Download the Acrobat Reader

Institutional/Corporate Members are requested to forward on their letter head a list of its members, who will be entitled to participate in  In-house programmes/Nature outings or Camps.

Please fill in the form below:
Type of Membership
 
Personal Details
First Name: Last Name:
Date of Birth: Day  Month  Year
Mailing Address :  
Building Name 
Street Name 
Landmark 
City 
State 
Country 
Pincode 
Residence Phone 
Office Phone 
 
Other Details
Authorised Signatory of the Institution/Corporate Body:
Name: Designation:
Profession   
Journal required ?  Yes No  
Amount sent:  
By  Cash  Cheque  Demand Draft
 
If proposed by a BNHS member please mention:
Name: Membership No:
Academic Qualifications:
 
Brief details of Projects/Research work/Publications if any 
 
My interests are:- (Please click the applicable)  
Aquatic Animals Insects Amphibians
Birds Conservation Nature Photography
Plants/Plantation Fishes Reptiles
Mammals Nature Education Others
   
I am willing to offer my voluntary services for the BNHS: Yes No

Form would be considered valid only after receipts of the fees.

  


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