IoT Society of India, Lucknow

Institutional Membership Registration
(Academic and Non-Academic)

Institution Type:

Membership Period*:

Membership Type*:

If an existing member proposing to renew, enter your institutional membership no:

1. Institution/Organization Details

Institution/Organization Name*:

Address:

City:

State:

PIN:

2. Details of contact official / authorized person *

Title*:

First Name:

Last Name:

Designation:

Email ID:

Mobile No:

3. Nominees’ details – Faculty / Staff Members: (Max. 03 Nominees): They will be offered free Professional Membership of IoT Society of India to be valid for the period of the Institutional / Organizational membership with all the rights including voting. The Individual Membership Registration is to be done for all the nominee members.

Nominee 1

Title*:

First Name:

Last Name:

Designation:

Email ID:

Mobile No:

Nominee 2

Title*:

First Name:

Last Name:

Designation:

Email ID:

Mobile No:

Nominee 3

Title*:

First Name:

Last Name:

Designation:

Email ID:

Mobile No:

जानकारी फॉर्म Enquiry Form

Institutional Membership Registration (Academic and Non-Academic)

Institutional Membership Registration
(Academic and Non-Academic)