Eligibility Criteria -
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Name of the Candidate*
Email ID*
Phone No.*
Address*
City*
Country*
State*
Date of Birth*
Telephone No.
Fax No.
Affix Passport Size Photograph*
Qualification*
Appointment*
Member of other Society*
Name*
Mobile No.*
Email-Id*
Types of Document*
Attach Document*
PG Students please attach your HOD Consent Letter here
On Acceptance of the application I am agreeable to the present rules and regulations of the society.
Transaction Id
NEFT Details
UPI Details
Only bank transfer will be accepted for payment.
Bank DetailsBank Name: IDFC FIRST BANKBranch Address: Varanasi-Lanka Branch Account Name: Indian Chest SocietyAccount No.: 10223462287IFSC: IDFB0060322
Accepted Cards
