Application Form Join IMTSRS: Where Excellence Meets Opportunity Personal InformationFull Name *Email Address *Contact Number *Communication Address *Date of Birth or Commencement of InstitutionMembership TypeIndividual Membership *Annual Membership (Rs 1000)Lifetime Membership (Rs 5000)Institution Membership *Annual Membership (Rs 5000)Lifetime Membership (Rs 25000)Academic Affiliation (if applicable)Institution/Organization NameDepartment/DivisionAdditional InformationCurrent Position/Title *Field of Study/Research Area *Highest Academic Qualification *Years of Experience in Academia/Research *Upload Recent Photo *Choose FileNo file chosenDelete uploaded fileUpload Recent CV *Choose FileNo file chosenDelete uploaded fileResearch InterestsList your primary research interests *PublicationsList any relevant publications *Professional GoalsBriefly describe your professional goals and how membership in IMTSRS will help you achieve them *Conference ParticipationProvide details of any conferences or workshops you have attended or presented at in the past *Referral (if any)How did you hear about IMTSRS?Payment InformationPreferred Payment Method *Please select an optionOnline PaymentBank TransferOtherPlease SpecifyBilling AddressDeclaration *I hereby declare that the information provided above is accurate to the best of my knowledge. I understand and agree to abide by the terms and conditions of membership outlined by IMTSRS.Name of Applicant *Date *Place *Submit