How to become a Member Our events are open invitations to all to join MR by submitting the enrollment form. A member’s work in any particular field or on any project remains his/her intellectual property, and all rights will be protected by MR. A member enjoys the benefits of availing the resources of MR, as well as teaming up with other knowledgeable members in pursuing any research in specified fields related to their projects. A member is valued only on the basis of their intent and contributions in real and objective terms. MR alone owns the copy right over the recordings of the proceedings and all materials presented by tutors during the events. You are all cordially welcome to fully participate and benefit form these events aimed at sharing and enriching the knowledge base while, at the same time, committing ourselves to the cause of transforming the available Microvita concepts into a real “Science for Service and Beatitude”, as directed by the propounder Shrii P.R. Sarkar. Enrollment Form Name (family name), (first name): ....................................................................................................... (Please print) Title: ......................... Sex (male/female): .............. Date of Birth: ....../....../...... (dd/mm/yy) Present Mailing Address: ......................................................................... ....................................................................................................... ....................................................................................................... (city) (country) (postal/zip code) Telephone: ............................................................. Fax: ...................................................................... E-mail: .............................................................................................. (Please write clearly in CAPITAL LETTERS) Present Position (exact title): .................................................................. Employing Institution (name of department) (name of institution):....................... ....................................................................................................... Address of Institution: ............................................................................ Personal Qualifications (include only professional degrees and diplomas with dates): ....................................................................................................... Professional Experience relevant to Microvita research (include key positions and dates): ....................................................................................................... ....................................................................................................... Please attach to the application a list of your major publications in the area of Microvita Research [this is not a requirement of membership] LANGUAGES Mother Tongue ......................................................... Other Languages (fluent or at least working knowledge): 1 English, 2 French, 3 German, 4 Spanish, 5 Russian, 6 Japanese, 7 Arabic, 8 Other ........................ please specify I have been retired since .................................... (year, if applicable) (signature) (date) NEW APPLICATIONS ONLY 1. I subscribe to the aims and objectives of Microvita Research e.V. and wish to become a member. ....................................................................................................... (signature) (date) 2. The following Microvita Research member in good standing has been approached and supports my application for membership:* ....................................................................................................... (name of proposer) (signature) ....................................................................................................... (title and department) (city and country) (date) *(If you cannot find a proposer, please leave blank and send your form to the Secretary) PAYMENT OF MEMBERSHIP FEE Name: ....................................................................................................... (family name) (first name) Annual Dues: Normal Rates / Rates for Citizens of Developing Countries € = Euros OTHER RATES Student rate: 50% of applicable rate (student status proof requested) Senior rate: 50% of applicable rate (applicable to active / new members, who have retired from full-time employment and reached 60 years) PAYMENT ONLY BY BANK TRANSFER Owner of the Account: Microvita Research e.V. Account number: 04 449 502 00 Bank: Commerzbank Bank AG (BLZ 100 800 00) SWIFT-BIC:DRES DE FF 100 IBAN: DE24 1008 0000 0444 9502 00 Purpose:Membership Fee THIS FORM SHOULD BE SENT TO THE CHAIRMAN OF THE ASSOCIATION: Dr. Hans-Joachim Rudolph 13437 Berlin Germany Tel +493040910106 Fax +493040910105 E-mail Website www.microvita.eu

Microvita Research e.V.

How to become a Member

Our events are open invitations to all to join MR by submitting the enrollment form.

A member’s work in any particular field or on any project remains his/her intellectual property, and all rights will be protected by MR.

A member enjoys the benefits of availing the resources of MR, as well as teaming up with other knowledgeable members in pursuing any research in specified fields related to their projects.

A member is valued only on the basis of their intent and contributions in real and objective terms.

MR alone owns the copy right over the recordings of the proceedings and all materials presented by tutors during the events.

You are all cordially welcome to fully participate and benefit form these events aimed at sharing and enriching the knowledge base while, at the same time, committing ourselves to the cause of transforming the available Microvita concepts into a real “Science for Service and Beatitude”, as directed by the propounder Shrii P.R. Sarkar.

Enrollment Form

Name (family name), (first name):

.......................................................................................................

(Please print)

Title: ......................... Sex (male/female): ..............

Date of Birth: ....../....../...... (dd/mm/yy)

Present Mailing Address: .........................................................................

.......................................................................................................

(city) (country) (postal/zip code)

Telephone: .............................................................

Fax: ......................................................................

E-mail: ..............................................................................................

(Please write clearly in CAPITAL LETTERS)

Present Position (exact title): ..................................................................

Employing Institution (name of department) (name of institution):.......................

.......................................................................................................

Address of Institution: ............................................................................

Personal Qualifications (include only professional degrees and diplomas with dates):

.......................................................................................................

Professional Experience relevant to Microvita research (include key positions and dates):

.......................................................................................................

Please attach to the application a list of your major publications in the area of Microvita Research [this is not a requirement of membership]

LANGUAGES

Mother Tongue .........................................................

Other Languages (fluent or at least working knowledge):

1 English, 2 French, 3 German, 4 Spanish,

5 Russian, 6 Japanese, 7 Arabic, 8 Other ........................ please specify

I have been retired since .................................... (year, if applicable)

(signature) (date)

NEW APPLICATIONS ONLY

1. I subscribe to the aims and objectives of Microvita Research e.V. and wish to become a member.

.......................................................................................................

(signature) (date)

2. The following Microvita Research member in good standing has been approached and supports my application for membership:*

.......................................................................................................

(name of proposer) (signature)

.......................................................................................................

(title and department) (city and country) (date)

*(If you cannot find a proposer, please leave blank and send your form to the Secretary)

PAYMENT OF MEMBERSHIP FEE

Name:

.......................................................................................................

(family name) (first name)

Annual Dues:

Normal Rates / Rates for Citizens of Developing Countries

€ = Euros

OTHER RATES

Student rate: 50% of applicable rate (student status proof requested)

Senior rate: 50% of applicable rate (applicable to active / new members, who have retired from full-time employment and reached 60 years)

PAYMENT ONLY BY BANK TRANSFER

Owner of the Account: Microvita Research e.V.

Account number: 04 449 502 00

Bank: Commerzbank Bank AG (BLZ 100 800 00)

SWIFT-BIC:DRES DE FF 100

IBAN: DE24 1008 0000 0444 9502 00

Purpose:Membership Fee

THIS FORM SHOULD BE SENT TO THE CHAIRMAN OF THE ASSOCIATION:

Dr. Hans-Joachim Rudolph

13437 Berlin

Germany

Tel +493040910106

Fax +493040910105

E-mail

Website www.microvita.eu

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