Institutional Membership Application

✓ Institutional Membership

Membership Category: Institutional Membership
Validity Period: 03 Years
Membership Fee: ₹ 5,000.00

1. Institution's Profile

6 digits only
10 digits only
10 digits only

2. Profile of the Library

6 digits only
10 digits only
10 digits only

3. Payment Details

Bank Details for Payment:

Beneficiary Name: Uttar Pradesh Library Association

Account Number: 000200300010582

IFSC Code: UPCB0000002

Bank & Branch: 14, Vidhan Sabha Marg, Lalbagh, Lucknow, Uttar Pradesh, 226001

Note: Payments should be made through Online Mode or Demand Draft only

Upload screenshot or scanned copy of transaction/DD (JPG, PNG, PDF - Max 2MB)

4. Declaration

I/we hereby declare that the information provided above is true and correct to the best of my knowledge and belief. I agree to abide by the rules and regulations of the Uttar Pradesh Library Association. I/we also allow U.P.L.A. to use our details for U.P.L.A. activities and academic activities, if required.

Signature of the Head of the Library/Librarian
JPG, PNG only - Max 1MB
Signature of the Institution/Organization Head
JPG, PNG only - Max 1MB