Membership Checkout - Your Professional Qualification and Applied Academic Education Partner

Additional Step: Submit Your Signed Registration Form

Please download the registration form below, fill it out completely, sign it, and send it to us via WhatsApp along with your registered full name.

📥 Download Registration Form (PDF)

Membership Level change

You have selected the Designation Membership for Individual Professional Life Insurance membership level.

The price for membership is Rs.62,500.00 now and then Rs.5,000.00 per Year. After your initial payment, your first 3 payments will cost Rs.5,000.00.

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Account Information Already have an account? Log in here

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Personal Information

Full Name (Mr./Ms./Miss./Mrs./Dr.)

How to Print a Name on a Printed Certificate or ID

Date of Birth

Telephone Number

Mobile Phone Number

WhatsApp Number

Residence Address

Phone Number

Address

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Additional Step: Submit Your Signed Registration Form

Membership Level change

Account Information Already have an account? Log in here

Personal Information

Pay by Bank Transfer

Address

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