AOIHO Cheque block

     CHEQUE/NEFT Transaction No: ………………………………………………………………… Ref No.: ………………………………..
Dated: ………………………………………… Name of Bank & Branch: ………………………………………………………………………..
                                           
                   
                        “THE ASSOCIATION OF OTOLARYNGOLOGIST OF INDIA”, HDFC BANK ACCOUNT NO. 59100000026855 GHATKOPAR(EAST) BRANCH, MUMBAI 400 077 IFS CODE: HDFC0000118.                                            
                   
                        OR, YOU CAN PAY LIFE MEMBERSHIP FEES TO ANY HDFC BANK BRANCH TO THIS ACCOUNT NO.PLEASE SCAN AND SEND THE DULY FILLED FORM TO DR. KAUSHAL SHETH THE (Hon. SECRETARY ADDRESS):                    
                   
                        Excel ENT Hospital, 501, Vishal, Junction of Hingwala 60 Feet Road, Above Noble Medicals, Ghatkopar (East), Mumbai 400 077. Mobile: 9820800536.                                            
                   
                    The First copy of Indian Journal of Otolaryngology and Head & Neck Surgery will be dispatched after 6 months from the date of receipt of the subscription, by our Editors office in Bhopal.Please inform any change in your mailing address to the Hon. Secretary & Editor of IJOHNS.                    
                   
                    LIFE MEMBERSHIP IS SUBJECT TO RATIFICATION BY THE AOI ANNUAL GENERAL BODY MEETING OF THE NEXT YEAR.                    
                   
                    *Note: In case of Cheque sent on incorrect name or details, the postal cost to send back the incorrect Cheque and the bank charges applicable will be borne by the applicant.