OPERATIONAL RESEARCH SOCIETY OF INDIA For office use:

Membership No.
39, Mahanirvan Road, Kolkata-700029, India. Phone: 91-033-24644213
e-mail: orsihq39@yahoo.in; orsihq39@orsi.in URL: www.orsi.in Photograph
APPLICATION FORM FOR MEMBERSHIP OF THE SOCIETY Receipt No.
Addressed to: Honorary Secretary, ORSI (stamp size)

PLEASE FILL IN THE FORM USING CAPITAL LETTERS (except for
the e-mail and signature) OR TYPE. (THANKS) Date: / /20
Please INDIVIDUAL MEMBERSHIP - INSTITUTIONAL MEMBERSHIP Following person is the
tick Annual Life Student - Institutional Corporate institutional representative
Name of the individual member / Institutional representative (Please write the name in full form.)
Title, if any First Middle Last
Dr./Prof. etc. name name name
Date of birth (dd/mm/yyyy) - - \\\\\\\\\\\\\\\\\\\ Please tick Male Female
Postal address (Office) Postal address (Residence)

Phone Fax Phone Fax

e-mail e-mail
Please tick communicating address Office Residence Affiliation with chapter* at. or HQ
QUALIFICATION**
ACADEMIC GRADUATE LEVEL POST GRADUATE LEVEL
STREAM
INSTITUTION
&
YEAR OF
PASSING
PROFESSIONAL DIPLOMA/CERTIFICATE OTHERS
COURSE
INSTITUTION
&
YEAR OF
PASSING
**Please enclose a photocopy of the graduation certificate / mark sheet.
For Institutional Membership:
Name of the organisation:
Postal address Electronic Address
Phone

Fax

E - mail

Recommendation by an existing member Declaration by the applicant Details of Draft***

Admission to the membership will be in the interest Statements incorporated herein are all true
of furthering the objectives of ORSI. and I agree to abide by the Constitution of the
Draft No.
ORSI as now formed or altered hereafter.
Name: Date:
Amount:
Membership No.
Bank:
Branch:
Signature & Date Signature & Date****
Life members willing to have identity card may please provide:
* List of chapters indicated overleaf. Specimen Signature in black ink
*** To be drawn in favour of Operational
Photograph
Research Society of India payable at Kolkata.
(Stamp size)
**** Please use official seal of authorized
signatory in case of institutional membership.
LIST OF CHAPTERS

The following is the list of township where chapter of Operational Research Society of India is operating
at present.

Agra; Ahmedabad; Ajmer; Aligarh; Bangalore; Bhubaneswar; Chennai; Delhi; Durgapur; Jamshedpur;
Kochi; Kolkata; Madurai; Meerut, Mumbai and Tirupati.

RATE OF MEMBERSHIP SUBSCRIPTION

A: RESIDENT MEMBERS IN INDIA

Member 600/- (per calendar year)

Student member 300/- (per calendar year)
Life Member*
i) Below sixty years 6,000/- (lump sum)
ii) Sixty years or above 3,000/- (lump sum)
Institutional Member 6,000/- (per calendar year)
Corporate Member 60,000 (lump sum)
Entrance fee Nil

*Life member, willing to have laminated identity card, is to pay further 200/- along with the application.

B: OVERSEAS MEMBERS

i) Life Member US $600 (lump sum)

ii) Member US $60 (per calendar year)
iii) Institutional Member US $500 (per calendar year)
iv) Corporate Member US $5,000 (lump sum)

Note: The members enrolled on and from 01 January 2014 will be provided free access to electronic
version of the journal OPSEARCH, by default. A member interested to have the printed copy
additionally, will be required to pay additional subscription for each volume, as decided by the
Society from time to time.