Membership Application Form
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Personal Details:



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*Membership Type:

     Independent     Organizational


*Number of Persons:

     1           2           3           More than 3, please specify the number      

*Membership Options

Membership Fee (Per Month) Silver(`) Gold(`) Platinum(`)
On monthly basis 12000 14000** 18000
On quarterly basis 11000 13500 16500
On half-yearly basis 10500 12500 15000**
On yearly basis 10000 11500 14000
**Recomended
*Package Selected:
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 Gold
 Platinum
*Payments for:
1 month
3 months
6 months
1 year
My Total Amount:
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