Life Membership

Name: Life Membership
SKU: 1463
Price: 15000.00 INR
Availability: InStock

₹15,000.00

Email(Required)

Designation/Title(Required)

Full Name (as per official records)(Required)

Date of Birth(Required)

Correspondence Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Number(Required)

AM Number issued by IHC(Required)

Number of Membership Years(Required)

Proof of Annual Membership receipts(Required)

(attach all the renewal receipts issued to you by the IHC in the last 20 years)

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB.

Proof of MA Marksheet/Degree(Required)

Accepted file types: jpg, jpeg, pdf, Max. file size: 5 MB.

Declaration by the Applicant(Required)

I declare that the particulars given in this application are correct. I will be liable for the rejection of my application and forefeiture of my application fees in case of any discrepancy

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