Subscription Form

Online Subscription form for SEVAMED
Subscription Types / Rate for 1 Year (4 Issues)
	Print Only	Online Only	Both
Individual	Rs. 150	Rs. 100	Rs. 200
Institution Single Copy	Rs. 800	Rs. 500	Rs. 1000


Subscriber's Details

Name of the Subscriber:
Designation:
Organization:
Department:
Postal Address:
City / Town:
District:
State:
PIN Code:
Email:

Payment Details
Payable to 'A/c CBI Sevagram, No. 1784852036, JBTDRC' (For payment by cheque, Rs. 50/- may please be added)
Cheque / DD No.
Amount in Rupees
Drawn on (Bank) :
Date of Issue:

BIC, JBTDRC, MGIMS
Sevagram, Wardha, Maharashtra - 442102, India