INSTITUTIONAL MEMBERSHIP FORM -
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Note: Fields marked * are mandatory.
 Institute Information
*Category Applied For:
Select Subscription Period:





*Organization Name   :    
*Address 1   :    
* Address 2   :  
* Address 3   :  
* Address 4   :  
*Country   :  
*State   :  
*City   :  
*PIN   :   *Phone   :  
*Mobile   :   Fax   :  
* E-mail   :   URL   :  
Please enter GSTIN number if available
GSTN No.   :   GSTN Category   :  
Details of Head of the Organization :
*Name   :   * Designation   :  
Chars:
255
Phone (Officce)   :   Phone (Res.)   :  
fax   :  
* Area Of Interest :
* Functions :
Adhar Card No :    
Details of Representatives of Your Organization to AIMA :
1.   * Name :   * Designation   :  
Chars:
255
  * E-Mail   :   * Contact No   :   
2.   * Name :   * Designation   :  
Chars:
255
   * E-Mail   :   * Contact No   :   
* Annual Turn Over (Rs. Lakhs)   :   Net Profit (Rs. Lakhs p.a)   :  
*Product/Services Offered   :  
Chars:
255
Are you already a member of a Local Management Association (LMA)   :   yes no  
Name of LMA   :  
Membership No.   :  
Name of LMA (affiliated to AIMA) to which your organization is desirous of being affiliated   :  
*Nature of Institution   :  
*Is Academic Institutions   :   Yes No  
Is your Institution Approved by AICTE   :   Yes No