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Pakistan Nuclear Society
Nuclear for Sustainable Socioeconomic Development
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Lifetime Membership Registration
Lifetime Membership Fee: Rs. 5000
The payment is to be made through crossed cheque in favor of Pakistan Nuclear Society or online deposit in the following account of NBP
A/C Title: Pakistan Nuclear Society
IBAN: PK18NBPA1725004018982691
Bank: National Bank of Pakistan (NBP)
Branch: Margalla, Islamabad
Lifetime Membership Form
Title
*
Dr.
Mr.
Ms.
Full Name (without abbreviations, e.g. M., S. etc.)
*
Date of Birth:
*
YYYY
MM
DD
CNIC
*
Highest Academic Qualification with Year of Award:
*
Field of Specialization:
*
Designation (Present/at the time of retirement for retired person))
*
Post (if any post held: Manager/Director/DG/Member/Chairman etc.)
Name of Organization/University/Department of Work (Present/Last)
*
Center/University Department/etc. of Work (Present/Last)
*
Date of Retirement:
*
YYYY
MM
DD
Length of Service/Years of Experience:
*
Civil Awards
Nishan-e-Imtiaz (NI)
Hilal-e-Imtiaz (HI)
Sitara-e-Imtiaz (SI)
Pride of Performance (PoP)
Tamgha-e-Imtiaz (TI)
Other Award/Honor
Write names of other civil/national/international awards/honors
Memberships and Fellowships of other National and International Societies/Bodies
Description of Expertise
*
Official Address:
Residential Address:
*
Phone (Official/Residential)
Cell:
*
Email:
*
Please upload bank receipt image of membership fee Rs. 5000:
Please upload your recent photograph for Membership Card:
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