Membership Form

(For Individual Membership Category only)

Applicant’s Name:

Father/Husband Name:

Age:

Sex:

Permanent Address:

PIN Code:

Country:

Address for Correspondence:

PIN Code:

Country:

Educational Qualifications:

Occupation:

Category of Membership Applying For:

Contact No.:

Landline:

Email:

Documents for Identity Attached : ( Any Two)
(Aadhar Card / Passport/ PAN Card)
( Passport is mandatory for all applicants other than citizen of India )

Upload Recent Photo:
( Max 40 KB in size in jpg Form )

Amount of Fee in INR:

Mode of Payment:

Details of Payment:

( For Category Other than Individual Membership Category )

Applicant’s Name:

Status of Applicant:

Address:

PIN Code:

Country:

Nature of Business / activities:

Website (Optional):

Category of Membership Applying For:

Contact Details : Mobile

Landline:

Email:

Documents to be uploaded :(Any one )
(certificate of incorporation / AOA / Registration Certificate / Partnership Deed/ Licence by Authority etc)

Upload Recent Photo:
( Max 40 KB in size in jpg Form )

Amount of Fee in INR:

Mode of Payment:

Details of Payment:

F-2, Basement, Kailash Colony, New Delhi-110048

+91-9811131012

mail@aiimas.in

SERVICES

FOR CONSULTATION

+91-9810387379

AIIMAS – A non-profit company, registered under section 8 of The Companies Act, 2013.