I ndian Scientists Association in Japan

(NPO Reg. No. 0503-05-001817)

http://www.isaj.org

Membership Application

The Indian Scientists Association in Japan (ISAJ) is a non-profit organization (NPO) registered in Ibaraki Prefecture of Japan on July 27 2010. ISAJ was founded in 2008 to: (1) bring all Indian scientists and researchers working in Japan into a global platform and promote a career network (2) promote S&T cooperation between Japan and India by facilitating greater interaction between Indian scientists and researchers and scientific community in Japan (3) formulate strategy to cultivate the next generation of Indian scientists and scholars through close interaction with their counterparts in Japan and other countries (4) share the experiences about Japanese culture and way of life for the advantage of prospective researchers from India who would like to pursue their academic/research career in Japan (5) organize scientific meetings/symposia/conference and disseminate information about the research activities pursued by the Indian and Japanese scientific community through scientific publications.

Membership is available to any individual who is a short-term or long-term resident of Japan and who has interest in any or all branches of science and technology as evidenced by professional affiliation in any scientific or technological society/academic institution of higher learning, or by professional activity.

• General membership is available under three categories: (1) Regular Member (2) Student Member (3) Life Member. Regular membership is available for residents of Japan who want to become member of ISAJ for a period of one year. Student membership is available for residents in Japan seeking a masters, doctorate, or equivalent level degree who want to become a member of ISAJ for a period of one year. Life membership is available for long- term residents in Japan who want long-term/lifelong association with ISAJ.

• Supporting membership is available to the individuals having interest in the goals of ISAJ who wish to provide financial contributions of not less than 20,000 Yen annually. Supporting member will be treated as a general member of ISAJ with out having the voting right. (General Members can also provide additional financial contribution under this category over and above the regular membership dues).

• Institutional/ Corporate/ Patron membership is available to organizations and companies who wish to subscribe annually as Corporate/Institutional/Patron sponsors (please contact ISAJ office for information regarding sponsorship/subscription rates).

All members will be added to the ISAJ Members only mailing list and receive all digital and printed publications of the society. Members are also entitled to exercise the right and responsibilities of active participation in the Society, including: the right to vote; the right to express opinion on all matters of interest to the Society; the right to register at discounted rates for meetings organized/sponsored or co-sponsored by the Society. All applications for membership are subject to approval by the ISAJ Executive Body. Membership dues support costs associated with carrying out the missions of ISAJ, including meetings/symposia/conference planning, elections, publications, web site maintenance, communication and management expenses. The membership period is April 1 to March 31 of each year. The full membership fee is paid upon joining along with the admission fee (¥1000), which is payable only once at the time of joining the society for the first time. Upon payment, members will receive any benefits of ISAJ to which they are entitled for that membership period. Renewal notices are sent in December of each year, and payment is due within three months.

Please accept my application for membership to The Indian Scientists Association in Japan (ISAJ).

I would like to join in the following category (choose one):

Regular Member (¥5000) Student Member (¥2000) Life Member (¥50,000) Supporting Member (¥ )

(Please add ¥1000 to the membership dues if you are paying the membership fees for the first time) (Not less than ¥20,000)

Applicant Information *Additional Student Applicant Information

Name:_____________________________________________________________________________________________ Degree/Program: Masters Doctoral Others(_________)

Department/Division:___________________________________________________________________________ Name of Scholarship/Fellowship:_______________________________________

Institution/Organization:_______________________________________________________________________ Scholarship/Fellowship Tenure:________________________________________

Address:__________________________________________________________________________________________ Name of the Research Supervisor:______________________________________

City/Prefecture/Postal Code:___________________________________________________________________Institutional webpage:___________________________________________________

Phone (land) ______________________________Phone (Mobile)_____________________________________ Theme of Research:_______________________________________________________

______________________________________________________________________________

Email:_____________________________________________________________________________________________

Your professional field(s):______________________________________________________________________

Name of the ISAJ Chapter:______________________________________________________________________

Payment Preference:

Bank Transfer Postal Money Order Personal Payment to ISAJ EB Member/Chapter President (_________________________________________)

Name of the ISAJ office bearer

Declaration:

I declare that the information provided above is true to the best of my knowledge. I also agree to abide by the rules and by-laws of the ISAJ. Any incorrect information provided/non-compliance with the rules of ISAJ would lead to the cancellation of my membership.

________________________________________________________________ ___________________________________________________________________

Signature Place & Date

Mail the Completed Application Form To: The Chairman, ISAJ, Nagakuni Dai 3-24, Tsuchiura-shi, Ibaraki-ken, 300-0810 Japan or by Email: [email protected]