ELECTRON MICROSCOPY SOCIETY OF INDIA (EMSI)
Life Membership Form
Name (Capital Letters)
Title / Degree
Gender
Select
Male
Female
Date of Birth
Present Position
Official Address
Correspondence Address
Contact Phone (STD)
Mobile
Fax
Email Address
Alternative Email
Fields of Interest
Actively engaged in microscopy?
Yes
No
Access to microscopy methods?
Yes
No
If Yes, where?
Microscope Make & Model
Passport Photograph
Submit Application