Membership Form SOCIETY FOR PROMOTION OF OIL PALM RESEARCH AND DEVELOPMENT APPLICATION FOR MEMBERSHIP Name(in block leter): Permanent Address: present Address: Contact Details Mobile Number: Telephone no: E-mail id: Profession: Upload Your Photo: Membership Fee Details Membership Type: Patron:Rs. 25,000/- (US $ 1500)Life Members: Rs. 2,000/- (US $ 350)Corporate Member: Rs. 1,00,000/- (US $ 6000)Student Member : Rs.200/- (US $ 40) Mode Of Payment: ChequeDDCashOnline Issuing Bank Name: Issuing Date: Amount(): Cheque/DD should be drawn in favour of SOPOPRAD, payable at ELURU, Andhra Pradesh Online Transactions @ : Account No. 448052563 Bank: Indian Bank, IFSC Code : IDIB000N063 I have read the constitution of the Society and I agree to abide by all rules and regulations of the Society.