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  INTER ISLAMIC NETWORK

ON SPACE SCIENCES AND

TECHNOLOGY

( ISNET)

  

APPLICATION FOR MEMBERSHIP

 

A. INSTITUTION

 

Name __________________________________________________

Address __________________________________________________

__________________________________________________

Tele # (off) _____________________ Res. # ____________________

Telex # _____________________ Fax # ____________________

E-mail _____________________

 

B. ACTIVITIES:

Priority Areas:

1. __________________________________________________

2. __________________________________________________

3. __________________________________________________

 

 

Specialty: (indicate whichever is applicable)

___________________________

 

 

C. MAIN RESEARCH PROGRAMMES

  1. ________________________________________________________

2. ________________________________________________________

3. ________________________________________________________

 

D. TRAINING PROGRAMMES

  1. ________________________________________________________

  2. ________________________________________________________

  3. ________________________________________________________

 

E. STAFF

  1. Researchers (Group Leaders and Majors)

____________________________________________________________

2. Ph.D. / M.Sc or equivalent

____________________________________________________________

3. M.Sc / B.E

  ____________________________________________________________

4. Technical/Para-Technical Staff

____________________________________________________________

5. Supporting Staff (Administrative/others)

  ___________________________________________________________

 

  

F. INFRASTRUCTURE AND EQUIPMENT

 

1. Buildings (No. and area in sq. meters)

  ____________________________

2. Laboratories (No. and areas in sq. meters)

  ____________________________

3. Investigation Equipment (List)

  ____________________________

4. Other Equipment (List)

  ____________________________

5. Training Facilities (List)

  ____________________________

6. Computer Facilities and Programmes (List)

  ___________________________

7. Repository for scientific Information / Technical Documentation/- Publications etc.

  ___________________________

8. Library / Reference Facilities (Number of Books / Journals subject- wise and subscription list).

____________________________ 

 

 G. BUDGET (US $)

   Resources:

  From State _______________________________

  From Own Resources _______________________________

  Other (Specify) _______________________________

 

  

H. INTERNATIONAL COLLABORATION/COOPERATION

Indicate national, regional and/or international collaboration/cooperative research project/agencies involved.

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

 

 I. ADDITIONAL INFORMATION (IF ANY)

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

 

J. MEMBERSHIP OF ISNET

 

A nominal entry fee of US $ 5,00,000.00, accompanied with the above information will make the institutions/country eligible for membership to be formally accepted at the General Body Meeting.

 

  For and on behalf of

  

Name of the Institution: ____________________

 

Signature: ____________________

 

  Date: ____________________

 

 

 Instructions:

- Kindly print the above form

- Fill the relevant information, preferably in hand