Apply Online for ILA Membership

ILA Membership Application Form

Please read the Membership Information and Rules & Regulations carefully.
You need to Pay the Membership fees Online before before submitting the application and enter the transaction details in the form without which the application shall not be considered.
You must confirm the submission (and verify your email) using a link which will be sent to your email after submission of the form. Please note that only confirmed submission shall be considered.
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Full Name*

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Gender*

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Female

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Date of Birth*

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Email Address*

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Mobile No. *

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Address with PIN Code*

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Highest Academic Degree*

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Current Affiliation*

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Current Position*

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Awards / Honors

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Type of Membership*

Life Membership

Student Membership

Corporate Membership

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Payment Details*

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Terms & Conditions*

I have carefully read, understood and agree to abide by the Rules & Regulations of the Indian Laser Association.

You must agree to the Terms & Conditions to submit the form.

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