IOD Institutional Membership Online Form

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

	START-UP ENTERPRISES (Can Nominate upto 1 member)	SMALL ENTERPRISES (Can Nominate upto 1 members)	MEDIUM ENTERPRISES (Can Nominate upto 3 members)	LARGE ENTERPRISES (Can Nominate upto 4 members)
Entrance Fee - One time only (Non-refundable)	2,500*	5,000*	7,500*	10,000*
Admin Charges - One time only	1,000*	2,500*	7,500*	10,000*
Annual Membership	12,500*	25,000*	37,500*	50,000*
Life Membership	1,25,000*	2,50,000*	3,75,000*	5,00,000*
* + 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

(ex: F-1234, M-1234, AM-1234, ILM-1234 etc...)

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

Fees Calculation

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

Company Name ^*

Attach Company Profile ^* ( .docx, .pdf | File Size < 2MB)

Organisation Logo ^* ( .jpg, .png | File Size < 2MB )

Company Profile for Monthly Magazine (Director Today)

Email Address ^*

Mobile no ^*

Telephone No. ^*

DIN No

Full Company Address

Country ^*

State ^*

City ^*

Pincode ^*

Postal Code

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) / For Start-Up Enterprises (Could Nominate Maximum-1)

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

Payment Details

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Please Select, Invoice should be raised on

Your Name Organisation Name

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

Declaration

I / We hereby declare that:
I/We shall fully abide by the rules and regulations of the Institute of Directors, India, and understand and accept that the decision of the Membership Committee shall be final and binding in all respects.
The applicant has not faced any penal action during their professional journey, nor is any case pending against the applicant in any court or investigation department.
All information provided in the application is true and correct to the best of my knowledge. If, at any time, the information provided in the application is found to be false or misleading, the Institute of Directors reserves the right to revoke the Membership without notice.

Enter this number below: 19764