Honorary Associates
Honorary Associates:
Institution Name
*
GSTIN
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Company Logo
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Company Representative Details:
Key Managerial First Name
*
Key Managerial Last Name
Managerial Email
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Managerial Contact No
*
SPOC First Name
*
SPOC Last Name
SPOC Email
*
SPOC Contact No
*
Company Social Media Handles:
LinkedIn
Instagram
Facebook
X (Twitter)
YouTube
Association Details:
Associate Constitution
*
Partnership Firm
Association
Company
Trust
Society
Communication preference
Email
Phone
Areas of Interest where you can contribute effectively to the Foundation cause
*
Field work
Insurance domain knowledge
Financial donations
(Please specify amount and currency - restrict donations other than in IN)
Non-financial donations
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Referral source (how you heard about us)
Web site
Social Media
Press
Reference
(please specify the name)
Others
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Compliance
I accept the
Terms and Conditions.
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