MEMBERSHIP FORM

Note : All asterisk fields required.
South Asia Alliance of Disaster Research Institutes (SAADRI)
Application for SAADRI Membership Form
E-mail: saadri@iitr.ac.in Website: Phone:
1. Name of the Applicant :*
2. Affiliation
3. Prefix:*
4. Complete Postal Address :*
5. Telephone No:
6. Mobile No:*
7. Highest Academic qualification:*
8. Present position:*
9. Email:*
10. Field of specialization:*
11. Work Experience:*
12. URL (of your web page):
13. Types of Membership:*
14. Photo:* (max 500 KB, jpeg/jpg only)
15. Signature:* (max 100 KB, jpeg/jpg only)
16. Publication: (max 10 MB, pdf only)
I agree to abide by the SAADRI Charter
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