AOI Delhi Membership Form
Account details
ACC name: AOI Delhi
Address: Canara Bank , INA colony, Branch: Subhanchal in building, New Delhi-110023
ACC no.: 90072010103524
IFSC code: CNRB0019007
Life Membership fees: Rs 7000 (seven thousand only)

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Title *
Name *
Date of Birth  *
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Highest Qualification *
Year of Passing
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Institute (qualification) *
Residential Address *
Place  Work (Institute/Hospital/organisation) *
Email *
Phone *
Proposed by (Name/LM number) *
Seconded by(Name/LM number) *
Payment details(Transaction id/date) *
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