Create Member Profile
Create New Membership
A. Details Of Member And Plan
*
Fields are Mandatory
Name :
*
E-Mail Id :
*
Profession/Designation
*
:
Plans For Membership:
*
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Individual
Institute or Academic
Corporate
Corporate Single Login
Name Of Inst./Corp.:
*
Books Limit :
GSTIN :
*
Payment Details
Annual Fees (in Rs):
Refundable Security Deposit (in Rs) :
Tax Applied
Service Tax:
Swach Bharat Tax:
Krishi Kalyan Tax:
CGST:
SGST:
IGST:
Service Tax 5:
Total Amount
Total Annual Fees (in Rs):
Total Amount:
B. Correspondence Address:
Address Line1 :
*
Address Line2 :
*
Address Line3 :
District :
Pin Code :
*
Area :
City :
State :
C. Permanent Address:
Is Permanent Address same as Correspondence Address
Yes
No
Address Line 1 :
*
Address Line 2 :
*
Address Line 3
District
Pin Code :
*
Area :
City :
State :
E. Contact Details
Phone No.(Office):
Phone No.(Residence):
Phone No.(Mobile)
*
:
Please Select Active Address
*
:
------Select------
Correspondence Address
Permanent Address
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