Home
 
Nomination Form
(Download Nomination Form Word Format )
 
       
  All fields are mandatory  
       
  Nomination for the post of:    
  Name of the Candidate:  
  Mailing Address:  
 

USI Membership Number:

  
  Proposed by  
  Name:  
  Full Name :  
  Mailing Address:  
  USI Membership Number:  
  Proposed by  
  Name:  
  Full Name :  
  Mailing Address:  
  USI Membership Number:  
  I hereby declare that, if elected, I agree to accept the Post of of the USI. I would abid by the rules and regulations and the constitution of the USI.  
  Name of Candidate :  
  Date :  
   
 
For any other information please contact the secretariat at:
Dr. R M Meyyappan
No. 7, 3rd  Street, Kamraj Nagar
Sathya Gardens,  Saligramam
Chennai -600093 
Mob: 98400 68248
Ph:(Res)- 044-23643322
Email: menauro@gmail.com