World Neem Organisation

WNO Academician Membership

Fees Structure:

Annual fees- Rs 2000/- or 50 US $

Total- Rs 2000/- or 50 US $

Name

Photo

Date of Birth

Gender

Male Female

Qualification

Status

Employed Self employed Retired

Organisation

Designation

Address(Residential)

Country

State

City

Pin Code

Telephone

Mobile

Email

Name of the University / Institute / College Address

Country

State

City

Pin Code

Telephone

Mobile

Email

Brif Information

I agree to abide by the rules of the WNO.

PRIVACY DISCLAIMER – The collection of these details is primarily so that we can register you as a member of WNO. This information will be stored in the WNO database and may be used for future marketing of WIC’s Events. If you do not wish your details to be made available, please tick this box [ ]. If you do not tick the box, then WNO will consider that the individuals completing this form consent to their personal details being used in the manner indicated.

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