Bangalore

Astronomical Tel: +91-9916435530

E-mail: info@bas.org.in
Society Website: www.bas.org.in

Registered Society under the Karnataka Societies Registration Act 1960 , Est. 2006

Membership Application Form

Name:__________________________________________________________________
[First name] [Middle name] [Last name]

Address:__________________________________________
__________________________________________
__________________________________________
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Telephone:________________ Mobile:___________________ dly ize ted
Kin ort s s
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E-mail: _______________________________________ cro
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Occupation:_________________________________

Sex: Female Male

Date of Birth:
DD MM YYYY

Membership Type:
Regular Annual Membership - Rs.200/year
Student Annual Membership -Rs.100/year
Family Annual Membership -Rs.400/year ( for upto 4 family members)
In case you wish to apply for family membership ,kindly mention the names and age of all the family members below

1.________________ 2________________ 3________________ 4._________________

Survey Information
How did you Hear about us ?
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Agreement
This is to Certify that I am above 18 years of age as on the date of application for membership .
I further certify that I have read and understood the terms and conditions of membership with
Bangalore Astronomical Society. I also agree to abide by all the rules and regulations of
Bangalore Astronomical Society.

Signature
Name:________________
Date:_________________
Place:________________

IMPORTANT
Completed forms may be sent by post/courier with the other documents to the address mentioned below.

Vivek Yerkadithaya
c/o Secretary -Bangalore Astronomical Society
#8,Ayodhya,24th Main Road,
J.P.Nagar, 1st Phase
Bangalore-560078

Check List of Documents to be sent:

* Application form
*Membership fee (Cheque/DD/details of the online transfer)
*2 Photographs
*One self addressed envelope with postage stamp
*Self attested photocopy of ID-Proof

For Office Use only

Kindly Do Not write anything inside this Box

Membership Awarded

Regular Annual Member Membership Number

Student Annual Member
Family Annual Member

Amount Received:__________

Mode of Payment
Cash Cheque DD/Bankers cheque Online Transfer

Details of Payment:______________________________________________

Membership Approved By:___________________________

Date of Approval of membership:___________________

Seal and Signature of the Approving Authority

 Te rm s and Conditions of Me m be rsh ip

M e m be rs h ips are available to any individualw h o is atleas t18 ye ars of age , as on th e date of th e application.

O nce paid, m e m be rs h ip fe e s are notre fundable unde r any circum s tance s .

M e m be rs s h alle njoy fullprivilege s of participation in BAS activitie s .

M e m be rs can us e BAS-ow ne d prope rty and e q uipm e nt, w ith e xpre s s pe rm is s ion from th e appropriate Te am or
Council.Itm ay be e xpre s s ly note d th atany BAS-ow ne d prope rty th atis us e d by m e m be rs s h allbe re turne d in
good condition, and m e m be rs are re s pons ible for any dam age s to s uch e q uipm e ntor prope rty. Sh are d
e q uipm e ntis a s h are d re s ource to be e njoye d e q ually by allm e m be rs , and m e m be rs m us te njoy s uch re s ource s
re s pons ibly.

M e m be rs s h alle njoy prioritize d participation in lim ite d-individuals activitie s s uch as tours , s pe cific proje cts ,
and oth e r program s as jointly planne d and e xe cute d.

M e m be rs s h allbe e ligible to re ce ive s ubs criptions and notice s from BAS and oth e r be ne fits th atth e board
m ay confe r.

Allm e m be rs in good s tanding s h allh ave th e righ tto e xe rcis e th e ir franch is e , during th e BAS AnnualBoard
Elections . Itm ay be e xpre s s ly note d th atfam ily m e m be rs h ips s h allh ave only one vote , re gardles s of th e
num be r of m e m be rs in th e fam ily.

Allm e m be rs in good s tanding s h allbe e ligible for nom ination to th e BAS Board and s ubs e q ue ntly for
appointm e nts to s pe cific nam e d re s pons ibilitie s . (A m e m be r is cons ide re d in good s tanding, if th e re are no
outs tanding due s to BAS, and th e ir m e m be rs h ip h as ne ve r be e n cons ide re d for re vocation, re gardles s of th e
outcom e ).

W e b privilege d m e m be rs s h alle njoy th e us e of an e m ailforw arde r in th e form at"nam e @ bas .org.in", and
120M B of w e b s pace . Itm ay be e xpre s s ly unde rs tood th atth is e m ailaddre s s and w e b s pace s h allonly be us e d
for as tronom y-re late d activitie s , and m ay be re vok e d atany tim e if itis found th atth e s e privilege s are notus e d
for th e s tate d purpos e .

Stude ntM e m be rs h ips s h allonly be availed of, by m e m be rs purs uing any cours e , up to and including th e
e q uivalentof a Bach e lor's D e gre e . Applicants atth is m e m be rs h ip leve ls h allprovide proof of th e ir s tude nts h ip,
auth oris e d by th e Ins titution of s tudy. In th e abs e nce of proof of s tude nts h ip, m e m be rs w illonly be able to
e nte r BAS as re gular m e m be rs .

Allm e m be rs s h allbe confe re d on w ith a BAS ide nity card. Th is card s h allbe non trans fe rrable and s h ould be
pos e s s e d by th e m e m be r atalls ocie ty and re late d activitie s . Th is card s h allh ave to be s urre nde re d to th e board
atth e e nd of th e m e m be rs h ip pe riod for truncation or re ne w alof th e s am e .