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  GLOBAL EDUCATIONAL RESEARCH ASSOCIATION (Registered Under Societies’ Registration Act 1860)  (Regn. No. 151 of 20111-12, Chandigarh) H.O.: Global Educational Research Association, Depart ment of Education and C.S., Punjabi University, Patiala (Punjab) India-147002 Website: www.thegera.in / e-mail: [email protected] om APPLICATION FOR INDIVIDUAL MEMBERSHIP Life Membership: Rs. 2000/- ( Indian) / USD 100 ( Foreigner) Donor Member:______ Mode of Payment: Cash /DD GERA Receipt /DD No.:_____________Date: __________ Bank (if DD): _____________________________ _____ Place: _______________  Name(in Block Letters): ____________________ _ _____________________ ______________________ Surname Middle Name First Name Date of Birth: _______________ __________ Gender: Male / Female Educational Qualification: _____________________________________________________ Designation: ___________ ___  Experience: _________ Institution/Organization : ______________________________________________________  ___________ ___________ ___________ ___________ ___________ _ Pin Code: ______________ Residential Address: ___________________________________________________________  __________ ____ City: __________ State: __________ Country: __________ Pin/Zip Code: ___________ Contact Details.: ISD Code  Mobile : Office (with STD code) : _________________ Resi. (with STD code) : __________________ E-mail:________ ______ Website: Declaration: I hereby solemnly affirm that the information provided in this document is true to the best of my knowledge. Date:_____________ Place: Full Signature of Applicant Draft to be drawn in favour of  Global Educational Research Association payable at Jalandhar.Application form along with membership fee Draft to be sent to President, Global Educational Research Association, Faculty of Education & Humanities, Lovely Professional University, Phagwara , Punjab (India) Pin Code-144806. Date of Confirmation of Membership:________________ _____ Membership No.: _____________________ _ Treasurer General Secretary 

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  • GLOBAL EDUCATIONAL RESEARCH ASSOCIATION (Registered Under Societies Registration Act 1860)

    (Regn. No. 151 of 20111-12, Chandigarh)

    H.O.: Global Educational Research Association, Department of Education and C.S., Punjabi University, Patiala (Punjab) India-147002

    Website: www.thegera.in / e-mail: [email protected]

    APPLICATION FOR INDIVIDUAL MEMBERSHIP

    Life Membership: Rs. 2000/- (Indian) / USD 100 (Foreigner) Donor Member:_________

    Mode of Payment: Cash /DD GERA Receipt/DD No.:_____________Date: __________

    Bank (if DD): _____________________________________________________ Place: _______________

    Name(in Block Letters): _____________________ _____________________ ______________________

    Surname Middle Name First Name

    Date of Birth: _______________ __________ Gender: Male / Female

    Educational Qualification: _____________________________________________________

    Designation: _________________________ Experience: _____________________________

    Institution/Organization: ______________________________________________________

    ________________________________________________________ Pin Code: ______________

    Residential Address: ___________________________________________________________

    __________________________________________________________________________________

    City: __________ State: __________ Country: __________ Pin/Zip Code: ___________

    Contact Details.: ISD Code ____________ Mobile: _______________________________

    Office (with STD code) : _________________ Resi. (with STD code): __________________

    E-mail:____________________________________ Website: ___________________________

    Declaration:

    I hereby solemnly affirm that the information provided in this document is true to the

    best of my knowledge.

    Date:_____________

    Place: ____________ Full Signature of Applicant

    Draft to be drawn in favour of Global Educational Research Association payable at Jalandhar.Application form along with membership fee Draft to be sent to President, Global Educational Research Association, Faculty of Education & Humanities, Lovely Professional University, Phagwara, Punjab (India) Pin Code-144806.

    Date of Confirmation of Membership:_____________________ Membership No.: ______________________

    Treasurer General Secretary


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