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277827 +91 092 1941 4329 Fax : +91 01332 277827 E-mail : igcroorkee ymail.com igcroorkee gmail.com Passport size photo I desire to be enrolled as a *Life Member/ *Annual Executive Member/ *Student Member/ *Subscriber of the Indian Geological Congress. (Strike off whichever s is not applicable). 1. Full Name (in capital letters) (Surname first) ..... ....................... . ... .

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