| [
] Life Membership |
[
] Institutional
membership |
[
] Annual
ordinary membership |
| Rs
1,500 (US$ 300) lump sum
or |
Rs.15,000 (US$ 750) lump sum |
Rs.
500 (US$ 75) |
| Rs.
310 (US$ 62) 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,
Kerala Panini Building,
St. Xavier's College P.O
Thiruvananthapuram 695 586
Kerala, India.
|
|
|
For Office
Use
|
| Receipt
No. |
: |
_______________
|
Details
of remittance
: _______________
|
| Date
of Membership |
: |
_______________
|
|
|
Treasurer/Secretary
: _______________
|
