Indian History Congress

APPLICATION FORINITIAL/INSTITUTIONAL/LIFE

For Office Use OnlyMEMBERSHIP*(See the Eligibility Conditions andProcedure overleaf before filling up

Membership No..this Form)

All applicants may please sign the declaration overleaf.

Initial Membership fee : Rs. 250 Renewal Fee

Institutional Membership : Rs. 1000 Life Membership FeeFee

Two Self-attestedcopies of theapplicantsphotographs, one ofwhich is to be pastedhere. Staple the otherphotograph on thispage

: Rs. 200

: Rs. 4000

Payment for membership will be accepted only through Cash/DD/PO/MO

1. Name in full (Capital letters)2. Academic Qualifications (**)..3. List of publications, if any (Attach separate sheet, if necessary).

4. Occupation/Academic Designation and name and address of institution where working:.

.5. Date of birth

Note: Members applying for Life membership need not fill column nos. 2, 3, 4 & 5 but should give theirOrdinary membership No. here:

6. Address for correspondence .(in capital letters only)

.CodePin State.

7. Amount paid through Draft/P.O./Money Order: Rupees.Details of the Draft/P.O. No..drawn on (Banks Name).... Delhi/New Delhi***

Note: Draft/P.O. to be enclosed with the form. In case of M.O. remittance, it will be helpful if a Xerox copyof Post Office receipt is enclosed. Draft & P.O. to be drawn in favour of Indian History Congresscrossed A/C Payee Only.

8. For Initial Membership

Proposed by(Name with Address)..Signature.Years of Membership Membership No...Seconded by(Name with Address)..Signature.Years of membership ..Membership No(Applicants Signature)..

Date

* Strike out whichever is not applicable. Ordinary membership has to be renewed annually. Non-members cannot apply for Life Membership.

** See Eligibility Conditions overleaf.*** Give name of bank here in case of Bank Draft. Leave space blank in case of Postal Order

Institutions applying for membership LAST DATE FOR INITIAL ENROLMENT THISfill column nos.1,6 only YEAR 28TH OCTOBER 2014

2ELIGIBILITY CONDITIONS FOR INITIAL MEMBERSHIP

An application for initial membership will be accepted if the applicant (a) holds at least a post-graduate degreein History or is undertaking research leading to M.Phil/Ph.D. degree in an allied field or (b) has published abook or an academic paper on a historical theme (full reference to be provided).

Note: The Secretary is authorized to reject an application if none of the above criteria is met, provided that anappeal for review of the decision may be made by the applicant to the Executive Committee, whichmay consider it either at its next meeting or by correspondence.

DECLARATION

1, .hereby declare that the particulars given in this application are correct to thebest of my knowledge.

(Signature of the Applicant)Date..

PROCEDURE FOR INITIAL ENROLMENT

An application for initial membership shall have to conform to the following procedure:(i) Application shall be made on a form prescribed by the Executive Committee(ii) Each application form must be accompanied by

(a) self-attested copies of document/s in support of the eligibility conditions which have beenspecified above; and

(b) two self-attested photographs (passport-size) of the applicant; one of which is to be pasted on theform, and the other stapled to it.

(iii) The name of each applicant is to be proposed and seconded by existing Ordinary or Life Members.Only such members of the Association as are eligible for holding office and participating in theBusiness Meeting of the Association under Clause 5(b) of the Constitution can propose or second anapplication for initial membership. However, this will not apply to the Representatives nominated bythe Governments, Universities and other Institutions recognized by the Congress.

(iv) Incomplete applications are liable to be rejected.

Note: In case of any difficulty or doubt please feel free to write to Professor S.Z.H. Jafri, Secretary, IndianHistory Congress, Department of History, Social Science Building, Delhi University, Delhi-110007

Please post this form with requisite enclosures to:

Professor S.Z.H. JafriSecretaryIndian History CongressDepartment of HistorySocial Science BuildingDelhi UniversityDelhi-110007

Money orders may please be sent to the following addressees

Dr. (Mrs) Tripta Verma, Treasurer, Indian History Congress, Department of History, Social Science Building,Delhi University, Delhi-110007

Any dispute regarding membership will be subject to the jurisdiction of the court at Delhi.