igna.hyd2018@gmail.com

IGNA

INDO-GERMAN NACHKONTACT ASSOCIATION

National Geophysical Research Institute, Uppal Road, Hyderabad-500007, Telangana

APPLICATION FORM FOR IGNA LIFE-MEMBERSHIP

Full Name

Date of Birth

Educational Qualification

Job Title

Organization

Department

Office Address

Honours/Awards

Name of Spouse

Number of Children

Email Address

Address 1

Address 2

Residential Phone

Mobile Number

Number of Germany Visits

Registration Fee

Transaction ID

Note : Make Payment (Rs. 2000/-) in favor of INDO GERMAN NAH IGNA, through Account Number: 52191130829, IFSC Code: SBIN0020087, State Bank of India, Habsiguda, Hyderabad. Contact us to ignaconf@gmail.com