ETHNO BOTANICAL SOCIETY OF NEPAL (ESON)
(Membership Form)
Name (Dr/Mr/Ms.):
Profession:
Position
:
Nationality:
Address
(Home)
:
Phone:
E-mail:
Address
(Office)
:
Phone:
E-mail:
Academic Qualification (Last two degree only):
Name of Degree
Subject
Institution
Year
Field of specialization:
Area(s) of interest:
No. of research publication (s):
Publications related to Ethnobotany (If any):
1.
2.
3.
Type of membership (Please tick one of the followings):
Honorary
Life
Ordinary
Associate
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Corporate
(foreigner only):
Student/Researcher
Professional
If my application for ESON membership is approved as a bonafide member of the Society, I hereby agree to abide by the constitution, rules and regulations of the Society.
Note:
Please send the membership fee in favour of "Ethnobotanical Society of Nepal" by draft cheque to the bank, Saving account No.77190 , Nepal Bank Ltd. Central office, New Road, Kathmandu, Nepal. Your membership will be validated only after receiving the membership fee.
Date:
Day
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Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2008
2009
2010
2011
2012
2013
2014
2015
Executive Council
Advisory Board
ESON Member
Membership form
