Membership

Membership Application

Please complete all applicable fields. Applications are reviewed by AIHAI before approval.

Applicant Details

Full Name *

Photograph

JPG or PNG, up to 5 MB.

Mobile Number *

Email Address *

Date of Birth

Gender

Professional Details

Professional Category

Qualification

Registration Number (if applicable)

Years of Experience

Area of Expertise

Institution / Establishment

Institution / Establishment Name

Institution Type

Address

District

State / Union Territory *

PIN Code

Website

Products / Services

Membership & Statutory Details

Membership Category *

PAN (if applicable)

GST (if applicable)

Other Registration Details

Identity Document

Kept private. Never published on the website.

Supporting Document

Kept private. Never published on the website.

I hereby declare that the information provided by me is true and accurate to the best of my knowledge. I agree to abide by the Constitution, Bye-Laws, Rules and Code of Conduct of AIHAI.