IOD Institutional Membership Online Form

A non-profit society, registered under the Societies Registration Act XXI of 1860 Regn. no. S 21169

	SMALL & MICRO ENTERPRISES (Can Nominate upto 2 members)	MEDIUM ENTERPRISES (Can Nominate upto 3 members)	LARGE ENTERPRISES (Can Nominate upto 4 members)
Entrance Fee	10,000	15,000	25,000
Annual Membership	25,000	35,000	45,000
Life Membership	2,50,000	3,50,000	4,50,000
* + GST 18% in addition, as applicable. Note - One time fee USD $100 will be in addition for overseas New Members (towards Administrative & Postal Charges)

I am interested in IOD Membership as a ^*

Categories of Membership ^*

Annual Turnover

For Upgrade Membership only enter your existing Membership no

For Overseas New Members (towards Administrative & Postal Charges), please check this option

Fees Calculation

Gross Fee	Rs. 0
Entrance Fee	+ Rs. 0
Discount	- Rs. 0
SubTotal	+ Rs. 0
GST 18% (SAC999293)	+ Rs. 0
Total Payable Amount	Rs. 0

Company Name ^*

Attach Brief Company Profile ^* (File Size less than 2MB | File Type .doc,.docx, .pdf)

Organisation Logo ^* (File Size less than 2MB | File Type .jpg, .png)

Company Profile for Monthly Magazine (Director Today)

Email Address ^*

Mobile no ^*

Telephone No. ^*

DIN No

Full Company Address

City ^*

State ^*

Pincode ^*

Postal Code

Country ^*

Contact Person Details

Title ^*

Full Name ^*

Email Address ^*

Mobile No. ^*

Nominated Members details

For Large Enterprises (Could Nominate Maximum-4) / For Medium Enterprises (Could Nominate Maximum - 3 ) / For Small Enterprises (Could Nominate Maximum-2)

S.No	Title	Name	Designation	Mobile No	Email Id	Resume (Profile)
1

Payment Details

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Your Name Organisation Name

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Terms & Conditions

I here by declare that all the information given above is true and correct to the best of my knowledge. All the information shared in the resume and IOD Membership Application form is correct, and I take full responsibility for its correctness. If my IOD membership application gets approved by the Membership Committee, I solemnly accept to become a Member of the Institute of Directors.
I have read the above Rules & Regulations of the Institute of Directors & I agree to abide by them.

Enter this number below: 93998