E-REGISTRATION

PERSONAL INFO

Username

Last Name

Mobile Number

E-mail Address

Adhaar No:

PAN No

Title

First Name

Landline No (with STD code)Pl. enter your land phone number with std code

Address

City

State

Password

Confirm Password

Upload Your Photo

Upload Aadhaar Copy

Upload PAN Card Copy

CREDENTIALS

Type of Membership

IMS Membership Numberenter your IMS membership ID (If any)

Chapter/ Society enter the chapter you belongs to

Community / Extension Services

Current Position

Affiliation with Institutions/Societies