ACBI Annual Membership Form

ADMISSIBILITY RULES FOR MEMBERSHIP

ELIGIBILITY CRITERIA : Membership of the Association is open to teachers & research scientists in the discipline of Biochemistry, Medical Biochemistry, Clinical Biochemistry, Immunology, Pathology, Endocrinology, Molecular Biology, Nutrition, Medicine and other allied subjects in a medical institution and also to persons holding M.B.B.S., M.Sc.(Biochemistry or Medical/Clinical Biochemistry) and are engaged in research or practice of clinical Biochemistry in hospital or in private laboratory.

SESSIONAL MEMBERSHIP : Those persons who are not members but want to attend ACBI National Conference and attend and/or present papers have to become Sessional Member. This membership will be valid for that conference only. If he/she fulfils all eligibility criteria for membership and again pays the next years Annual membership fees, they will be admitted as Annual Member of ACBI.

MEMBERSHIP FEE : (a) Annual Member – Rs. 600/- annually , (b) Life Member – Rs.5000/- once + Rs.30/- for L.M.certificate posting + 100/- I Card [Total: Rs.5130/-] (or Rs. 1800/- annually for 3 consecutive years.) (c) For persons residing in other countries – US $200/- (d) ASSOCIATE LIFE MEMBERS - Rs.5000/- once + Rs.30/- for A..M. certificate posting + 100/- I Card [Total: Rs.5130/-], (e) Corporate Member : Rs. 25,000/- one time payment. (f) Sessional Member – Rs. 600/- (g) IFCC subscription (optional) - Rs. 1500/- once.

Category of Membership Applied :

Salutation*

First Name*

Middle Name

Last Name*

Your Name is :

Gender*

DOB*

Nationality*

Designation*

Academic Quali. with Year

MBBS

PHD

MSc

M.D (Biochemistry)

M.D (Pathology)

M.D

DNB

OFFICIAL ADDRESS*

Department*

Institution*

Address*

Country*

State

City

Pincode*

Telephone* (with area code)

Fax (with area code)

Email*

Mobile*

RESIDENTIAL ADDRESS*

Address*

Country*

Pincode*

State

City

Telephone* (with area code)

Fax (with area code)

Mobile*

Email*

Address For Communication*:

Official

Residential

Professional Exp.*

Choose*

Experience (in Years)*

Field Of Expertise* / Area of Interest*:

Publications, if any (max 5 files allowed)

Membership of other professional bodies, if any:

Undertaking by the Applicant

I have gone through the bylaws of the Association of Clinical Biochemists of India. If admitted as a member, I shall abide by the rules and regulations of the association.

Signature of the Applicant*

Date*

Place*

Recommendation by a member of ACBI*

Download the recommendation form from a member of ACBI. After filling out the form, attach it here.

(Disclaimer)

Please tick the appropriate box.

I have no objection if my address and full details are put on the ACBI website at www.acbindia.org.

I have object* if my address and full details are put on the ACBI website at www.acbindia.org.

* strike out whichever is not applicable