Apply Online for ILA Membership

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.
Please Contact Here for any help.

Full Name*

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Gender*

Male

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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The membership certificate and receipt will be sent by speed post to this address.

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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Please provide online payment transaction details above.

Account name	Indian Laser Association
Bank Name	State Bank of India, Sukhniwas, RRCAT, Indore
Current Account No.	34804906156
IFS Code	SBIN0008484

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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ILA Membership Application Form