Register Member


General Information
Title:
First Name: *
Last Name: *
Chapter:
Membership Category:
Organization: *
Designation: *
Qualification: *
Date Of Birth: *
OFFICIAL ADDRESS
Street:
City:
State:
Country:
ZIP Code:
Phone:
FAX No:
   
RESIDENTIAL ADDRESS
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City: *
State: *
Country: *
ZIP Code: *
Phone: *
Email: *
Mobile: *
Area Of Interest:
Professional Experience:
Other Details
DD No:
Amount:
Date:
Bank Name:
       

Membership Charges (in INR)

Life member 5000
Associate member 500
Active member 500
Student member 100
(1) Draft should be in favour of Secretary Association of Petroleum Geologists Dehradun.
(2) Draft Should be sent to following address

Secretary,
Association of Petroleum Geologists,
3rd Floor S&T Building, KDMIPE,
ONGC 9, Kaulagarh Road, Dehradun-248195,
Uttarakhand, India.



You can also deposit Membership Charges in IDBI Bank Account No : 070102000005852


  I declare that the above particulars supplied by me are correct to the best of my knowledge. I am also fully aware of the fact  that in the event of any information being found incorrect or misleading, my membership will be liable to be cancelled by the Society at any time.