Membership No.

MEMBERSHIP FORM
Please fill in the form with block letters

TITLE

Mr Mrs Ms

Please paste a
passport size
picture

Name *
Date of birth *

Father/ Spouse
Name
Phone no. (home)

Mobile no.

CNIC No.

Address (Pakistan)
Overseas Adress
(if non resident)
Preferred Mailing
(Postal) Address
Email (1)
(preferred for
correspondence)
Occupation

Teacher
Student

Email (2)
Research
supplier
Reseacrh user

Others

Job Tile
Organization /
Institution
Office address
Phone no. (office)
Member of any professional
body (Please specify)
Highest
Educational
Qualification
All membership applications need to be supported by a current MRSP member. Therefore, we
ask you to suggest a member's name whom we can contact on your behalf for a reference.
Please contact the following person to support my membership application:
Name
Company
Email

Tel / Mob No.

MRSP
Membership
#

MRSP activities,
products
and services.
MRSP may use my e-mail address to inform me about activities,
products
& services
of relevant
third parties.

Yes No
Yes NO

I confirm having read and understood the TERMS & CONDITIONS, as explained on the back side of this FORM
I agree to pay the annual membership fee of Rs _____ and an the initial
administrative fee of Rs 2,500.

Signature of applicant

Payment Details
MEMBERSHIP FEE

Mode of Payment

Cash

Cheque

Other
(Detail :

Amount

Rs.

In case of Cheque
Cheque No.
Bank :
Branch

Dated
Address
City
Country

Nam
e

Details of Verifying Officer (For Office Use)

Contact No.

Signature of Verifying Officer

TERMS & CONDITIONS

1
2
3

This Application Form is not not a guarentee of Membership

Application Form will not be processed, if proof of Membership Fee and Initial Administrative Fee not
provided along with the Application Form
MRSP Council has the right to reject / accept the Application Form

4 If I become member of MRSP, I'll abide by the Rules & Regulations of MRSP, as set in the Articles of Association

Date
Signature of Applicant

Payment Details
MEMBERSHIP FEE

Mode of Payment

Cash

Cheque

Other
(Detail :

Amount

Rs.

In case of Cheque
Cheque No.
Bank :
Branch

Nam
e

Dated
Address
City
Country

Details of Verifying Officer (For Office Use)

Contact No.

Signature of Verifying Officer

TERMS & CONDITIONS

1 This Application Form is not not a guarentee of Membership
2 Application Form will not be processed, if proof of Membership Fee and Initial Administrative Fee not
provided along with the Application Form
3 MRSP Council has the right to reject / accept the Application Form
4 If I become member of MRSP, I'll abide by the Rules & Regulations of MRSP, as set in the Articles of Association

Date
Signature of Applicant