Proforma for current awareness service (cas) 1) Name of applicant

PROFORMA FOR CURRENT AWARENESS SERVICE (CAS)

1) Name of applicant :

……………………………………………………

(in capital letters)

2) Organisation :

……………………………………………………

3) Address for Correspondence :

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………………………………………………………………………

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4) Telephone :

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5) FAX :

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6) E-mail :

……………………………………………………

7) Name of Journal

(Please select 15 titles for CAS)

i) :

…………………………………………………..

ii) :

…………………………………………………..

iii) :

…………………………………………………..

iv) :

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v) :

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vi) :

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vii) :

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viii) :

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ix) :

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x) :

…………………………………………………..

xi) :

…………………………………………………..

xii) :

…………………………………………………..

xiii) :

…………………………………………………..

xiv) :

…………………………………………………..

xv)

:

…………………………………………………..

Payment through Demand Draft (DD)/Cheques* in the favour of “Executive Secretary of INSA, New Delhi”

DD No ________________________ dated________________________ Cheque No_____________________ dated________________________

Place:- Date :-

(Signature of Applicant )

*In Case of Outstation Cheques, an amount of rupees 31 may please be added.