IOD Institutional Membership Online Form

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

	LARGE ENTERPRISES (Can Nominate upto 4 members)	MEDIUM ENTERPRISES (Can Nominate upto 3 members)	SMALL & MICRO ENTERPRISES (Can Nominate upto 2 members)
Entrance Fee	15,000	12,000	8,000
Annual Membership	28,000	21,000	14,000
Life Membership	2,80,000	2,10,000	1,40,000
* + 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 *

(Note : Large Enterprises (LSE) :- Annual turnover above 250 crore || Medium Enterprises :- Annual turnover between 250 - 25 crore || Small & Micro Enterprises (SME) :- Annual turnover below 25 crore.)

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

Upgrade Categories

Company Name*

Company Profile for Monthly Magazine (Director Today)

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)

Telephone No. *

Email Address*

Full Company Address*

Postal Code*

Mobile no.*

DIN No

Country*

State*

City*

Pincode*

Contact Person Details

Title*

Your Full Name*

Email Address*

Mobile no.*

Name of the Directors / Sr. Executives Nominated to be Members of IOD

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	Profile
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2
3
4
5

Payment 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: 16256