| [
] Life Membership |
[
] Institutional
membership |
[
] Annual
ordinary membership |
| Rs
2,000 (US$ 400) lump sum
or |
Rs.20,000 (US$ 1050) lump sum |
Rs.
600 (US$ 90) |
| Rs.
420 (US$ 84) in 5 equal installments |
|
|
|
M.O/Cheque/DD
No. _____________ dt.
______________ ( should be cashable at
Thiruvananthapuram, Kerala, India. ) |
Post
Office/ Bank through which
the Membership fee is
remitted
___________________________________________ |
|
Place
__________________ |
|
Date
__________________ |
|
Signature
_______________
|
|
To
The Treasurer
Dravidian Linguistics Association
V.I. Subramoniam Memorial ISDL Complex
St. Xavier's College P.O.
Thiruvananthapuram - 695 586
Kerala, India
|
|
|
For Office
Use
|
| Receipt
No. |
: |
_______________
|
Details
of remittance
: _______________
|
| Date
of Membership |
: |
_______________
|
|
|
Treasurer/Secretary
: _______________
|
