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Application for MANLIBNET Membership
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Membership No.
(for office use only)
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ENROLL MY NAME FOR THE MANLIBNET
*
INSTITUTIONAL LIFE MEMBERSHIP [Rs.25000.00]
INDIVIDUAL LIFE MEMBERSHIP [Rs.2500.00]
Required
Title
*
Prof.
Dr.
Mr.
Ms.
Required
Name
*
Your answer
Designation
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Institution/Organization
*
Your answer
Office Address
*
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Preferred Mailing Address
*
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Mobile No.
*
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Email Id
*
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Bank Details for Online Transfer
Please provide transaction details of payment (UTR/Transaction/No) made by you
*
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Date of Payment
*
MM
/
DD
/
YYYY
Name of Bank
*
Your answer
I have read the rules and regulations of Management Libraries Network and undertake to abide by them.
*
Yes
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