Membership for Individuals/ Professionals

Personal Details:

Full Name:

Mailing Address:

Email Address:

Contact Number:

Highest Academic/ Professional Qualification:

Professional Details:

Name of the Organization:

Address of the Organization:

Designation:

Work Experience:

Are you member of any other professional/ industry body?
YesNo

If yes, please mention the name:

Type of Subscription: Annual Subscription (INR 500/-)Lifetime Membership (INR 50000/-)
(note: There is Entrance fee of INR 100/- for first time members)
Transaction Details:
I declare that the statements made herein are correct to the best of my knowledge and belief. I agree to abide by the Rules and Regulations of the Gurgaon Management Association