IOD Individual Membership Online Form

One Time ENTRANCE FEE INR 7,500/- (NON REFUNDABLE)

Period of Membership	Associate Member	Member	Fellow
Annual Membership	7,500	10,000	na^#
Lifetime Membership	75,000	1,00,000	1,50,000
# Fellow Membership is only for lifetime
* + 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 *

Categories of Membership *

For Existing Member only: (If, Existing Member, Enter your membership no)

Title*

Full Name*

(Note: Please write your full name in CAPITALS and exactly as you want it to appear on your certificate.)

Your Passport Size Photo*

Your Latest Resume*

Email Address*

Date of Birth*

Highest Qualification*

Specialisation *

DIN No.

Home Telephone No.*

Mobile No.*

Home Address *

Pincode*

State*

City*

Country*

Profile for Monthly Magazine (Director Today) (Max 250 Words)

Company Details

Company Name

Preferred Mailing Address

Home Company

Company Email ID

Company Tel no.*

Designation*

Company Address*

Pincode*

State

City

Country

Sr. Citizen are requested to upload their DOB Proof (to avail extra 25% discount)

Invoice Details

Enter the Fee in INR ( ₹ )

Select Payment Mode

Cheque Bank Transfer Credit Card

If Cheque / Bank Transfer (Fill Complete Details in the box) :

Please Select, Invoice should be raised on

Your Name Organisation Name

Enter GST No. (If not applicable, Please ignore) :

Terms & Condition

I hereby 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: 72099