Membership Form

Name:
Father’s Name:
N.I.C. No.		Age	Religion
Profession:
Address:

Phone(Home):		Phone (Office):
Fax:		Mobile:
E-Mail:		Educational Qualification:

Academic Interests:
Publications:

Related Name of Institutions:

Designation:
Other Activities

Mode of Support to Academy	Academic	Financial	Moral

I am deeply interested in Iqbal’s thought and find myself in agreement with the aims and objects of the Iqbal Academy Pakistan. I would, therefore, like to assist the Academy in its efforts for the propagation of Iqbal’s message. Please accept my name as an member of the Academy.