Home
About us
v
Who we are
Vision / Mission
Aims and Objectives
Goals and Strategies Plan
Services Provided
Our Programs
v
National Conference on Psychosoical Wellbeing in Schools
Global Summit on Enriching Skills for Health and Wellbeing in Education
International Conference on Comprehensive Mental Health Services
List of Training Programs
Events
Newsletters
v
2018
2014
2013
2012
Gallery
Videos
Membership form
Contact us
_______
Membership Form
Membership Form
Please enter your name and contact information below.
All marked as (
*
) are required.
Name
*
Age
*
Gender (Male/Female)
*
Qualification / Professional Qualification
*
RCI No.
E-mail ID
*
Mobile
*
Landline
City
*
State
*
Country
*
Achievements (Optional)
My Suggestions
Membership (Annual / Lifetime Member)
*
Payment Done Details
Transaction ID
Date of Payment
Amt. Paid
Offline Payment Method
If Amt. paid by Cheque, mention Cheque No.
Cheque Date
Cheque Amt.
Cheque Drawee Bank
Bank Transfer / NEFT for Fee Submission
A/c Name:
Expressions children Homes Organizations of India
Bank Name: Kotak Mahindra
Bank Branch: Kasturba Gandhi Marg, New Delhi
Account No.: 0811412573
MICR Code: 110485002
IFSC Code: KKBK0000172
For Offline Payments
: If you wish to pay by Cheque, please prepare the Cheque in favour of 'Expressions children Homes Organizations of India' and drop it at the below address:
Ms. Rekha Chauhan - President AISUCAP,
AISUCAP, Moolchand Medcity, Lajpat Nagar, New Delhi
.
You also need to fill the above details and submit the form.
Membership Fees:
1 Year Membership: Rs. 2000/-
Lifetime Membership: Rs. 3000/-
The Benefits for membership are as below:
» 50% discount on Registration Charges.
» Photo display on the website with expertise mentioned.
» Pictures included in Photo Gallery.
» Success stories displayed.
Download Membership Form