ULTRASONICS SOCIETY OF INDIA

C/o Acoustics, Ultrasonics & Vibration Section

 CSIR- National Physical Laboratory

Dr. K. S. Krishnan Marg, New Delhi -110012

Telephone No. 011-4560 8317, 4560 8380, 4560 9302
Website: http://www.ultrasonicsindia.org

   

 

Membership No. -

 

                                                                           MEMBERSHIP FORM

 

                Membership Applied for:       Fellow               Member              Associate Member             Corporate Member

 

1. Name in full (Dr. / Mr. / Miss / Mrs.) ……………………………………….                     2. Date of Birth   …………………………

                                                                                                                                                                                                      D D      M M      Y Y Y Y

               

3. Occupation / designation………………………………………………………………………………………………………………

       

       4. Institution (Name and Address) (In Block Letters)    ……………………………………………………………………………………..

           ….…………………………………………………………………………………………………………  Pin………………………..

 

       5. Mailing Address (In Block Letters) ……………………………………………………………………………………….………………..

           

           ……………………………………………………………………………………………………………   Pin…………………………

 

6. Telephone Nos.   Residence …………………… Office……………………  Mobile ………………………………………………

 

       7. Academic Qualifications                                                                               E. mail ……………………………………………...

 

Degree / Diploma

    Year

University / Institute

Subjects / Specialization

          …………….

    ……………

    ……………

    ……………

    ……………

………..

……….

………..

………..

………..

………………………………..

………………………………..

………………………………..

………………………………..

………………………………..

…………………………………………….

…………………………………………….

…………………………………………….

…………………………………………….

…………………………………………….

 

 

 

 

 

 

 

 

 

 

 

8.  Professional Experience.    ………………………………………………………………………………………….…………………

 

     (Give Work Details – No. of Years --  ………………………………………………………………………………………………………………………………………….

 

     specially in ULTRASONICS or related areas………………………………………………………………………………………………………………………………

 

    -Enclose List of Publications etc. if any)…...…………………………………………………………………………………………………..

 

9.  Additional Information (if any) ……………………………………………………………………………………………………………………………………………...

       ………………………………………………………………………………………………………………………………………………

     ----------------------------------------------------------------------------------------------------------------------------------------------------------------10.  For Corporate Member *

              Name of Persons Representing the Organization  (They are requested to fill separate MEMBERSHIP FORMS)

 

             (!)…………………………………………………………………………(II)………………………………………………………………….…………

    -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

11.  For Fellow (The application to be nominated by two Fellows of USI)

 

        Proposed by: ……………………… ………. …                ………………………………...            …………………………………………………

  

       Seconded by: ……………………………………              ………………………………….          …………………………………………………

                                                          (Name)                                                                  (Signature)                                               (Fellowship No.)

       ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

12.  Membership Fee submitted Rs. …………(in words………………………………………………………………………) by cash/ cheque/ DD               

               **Cheque / DD No………………..Dated ……………….for . …Indian Rupee symbol.svg…………… Bank ………………………………………………….

                                                                                                                                                                  (Name of Bank and its Branch)

               ………………………………………………………………………………………………… drawn in favour of Ultrasonics Society of India.                              

13. Enclosures (please specify)

 

    Dated  ………………                                                             Signature of Applicant   ………………………………………

 

   *      For Corporate Members Please nominate two persons from your organization

   **    The account payee Cheques or Demand Draft must accompany the application form. Outstation cheques must include Rs.50/-

          extra towards the bank service charges.

 

(For Official Use)

 

Received   Indian Rupee symbol.svg………(in words…………………………………………………………………………..) by Cash / Cheque / DD on …………..

 

and deposited in Bank on ………………….                                          Signature of Treasurer…………………………………………………    

 

Forwarded on ………………………………                                           Signature of General Secretary…..…………………………………..

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

Recommended as Fellow / Member / Associate Member / Corporate Member by Membership Committee

 

1 --------------------------------------------------- 2 -------------------------------------------- 3--------------------------------------------------------

                

4---------------------------------------------------- 5 -------------------------------------------- 6--------------------------------------------------------

 

                                                                  Convener                                                                        Chairman

Date                                                            Membership Committee                                            Membership Committee

 

       Approved by Executive Council on…………………….                                                 Form sent to General Secretary on …………………….  

      

       Intimation sent to the Member by General Secretary on ……………….                      Signature……………………………………………………

       --------------------------------------------------------------------------------------------------------------------------------------------------------------------

 

ELIGIBILITY OF MEMBERSHIP

 

Honorary Fellow

An individual of meritorious professional standing in the field of Ultrasonics shall be invited by the Council, on the recommendation of a penal of three members of the USI specially constituted by the Council, to become its Honorary Fellow subject to the condition that the number of such Fellows shall not exceed 5% of the total membership of the USI. However, the General Body of the USI, on the recommendation of the Council can exceed this limit in exceptional cases.

 

Fellow

An individual can be inducted by the Council on the recommendation of the Membership Committee, constituted by the Council to become its Fellow, provided,

a)       He/ She holds at least a post graduate degree in science or a graduate degree in engineering or medicine or equivalent from a recognized University / Institution and has been conducting R & D work in the field of Ultrasonics for a minimum period of 15 yrs.

b)      He/ She has rendered outstanding service or made notable contribution to the advancement of knowledge in the field of Ultrasonics and

c)       He/ She should be nominated by at least two Fellows of the USI in the prescribed proforma as approved by the Council

 

Member

An individual can apply to the Council to become its Member provided,

a)       He/ She holds at least a post graduate degree in science or a graduate degree in engineering or medicine or equivalent from a recognized University / Institution and has been engaged in the field of Ultrasonics for a minimum period of 5 years.

OR

He/ She holds at least a Graduate Degree in Science or Diploma in engineering or medicine or equivalent from a recognized University /Institution and has been engaged in the field of Ultrasonics for a minimum period of 10 years, and

b)      He/She has made significant contribution to the cause and promotion of Ultrasonics.

 

Associate Member

An individual can apply to the Council to become its Associate Member provided,

a)       He/ She holds at least a post graduate degree in science or graduate degree in engineering or Medicine or equivalent from a recognized University / Institution, or

b)      He/ She holds at a graduate degree in science or diploma in engineering or Medicine or equivalent from a recognized University / Institution with five years experience in any activity related to Ultrasonics and by whose experience the USI will benefit.

      Associate Member is eligible to become Member after having completed 5 years of active involvement in Ultrasonics

 

Corporate Member

a)       A corporate organization, having interest in Ultrasonics, can apply to the Council to become its Corporate Member

b)      The corporate Member shall nominate two of its office bearers to represent their organization in he USI with full voting rights

 

MEMBERSHIP SUBSCRIPTION

The subscription for various classes of the membership shall be as follows. These are subject to revision from time to time by the General Body of the USI on the recommendation of the Council

 

S. No.

Class of Membership

Subscription

(one time for life membership)

1

2

3

4

5

6

Honorary Fellow

Life Fellow/ Member

Associate Member

Corporate Member

Life Fellow/ Member (Foreign)

Corporate Member (Foreign)

Nil

Indian Rupee symbol.svg 2,500/-

Indian Rupee symbol.svg 1,000/- (for 5 years only)

Indian Rupee symbol.svg20,000/-

US $ 150/-

US $ 1,000/-

 

Note: “Ultrasonics” shall mean Ultrasonics and related area