IIAM Membership

I / We have gone through the IIAM Membership terms and agree to abide by the same. I / We would like to as an IIAM Member in the following category.
Category		Type
Membership No.	(if an existing member)
Name
Gender	Male Female
Date of Birth
Address
Pincode
City
Tel No
Fax No
E-mail
Website
Field of Activity:
Name of representative 1: Designation: Mobile No.
Name of representative 2: Designation: Mobile No.
Name of representative 3: Designation: Mobile No.

Name of CEO:	Date
Payment Type Cheque/DD No. Date Amount * All fields are mandatory

Terms & Conditions

♦ Approval and Renewal of membership will be the sole discretion of IIAM

♦ Membership number along with Membership Certificate will be issued after processing the membership form

♦ Membership Fee:

Member – Life: (Rs. 35,000.00)

Member – Annual: Registration (Rs. 7500.00) / Renewal (Rs. 5000.00)

Corporate – Life: (Rs. 1,00,000.00)

Corporate – Annual: Registration (Rs. 20,000.00) / Renewal (Rs. 15,000.00)

Ex-officio – Life (Rs. 15,000.00)