ODISHA POLITICAL SCIENCE ASSOCIATION

Membership Registration Form

Membership Registration
Membership Type
Registration Type
Name
Gender
Designation
Office Address (If retired, Last Address)
Mail ID
Telephone (Office) -
Telephone (Residence) -
FAX -
Mobile Number
Personal Mail ID
Payment made for OPSA
28th Annual Conference Delegate Fees:
Without Accomodation: INR 600/-
With Accomodation: INR 850/-


FOR Online Payment: https://www.onlinesbi.com/prelogin/icollecthome.htm?corpID=854883
Payment Reference Details
DU Reference Nmber
Date
Bank
Date