Honorary Associates - microinsuranceinnovation

Honorary Associates

Honorary Associates:

Institution Name*

GSTIN*

Company Logo*

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Company Representative Details:

Key Managerial First Name *

Key Managerial Last Name

Managerial Email*

Managerial Mobile No*

SPOC First Name*

SPOC Last Name

SPOC Email*

SPOC Mobile 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

Both

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
(Please specify)

Referral source (how you heard about us)

Website

Social Media

Press

Reference
(please specify the name)

Others
(Please specify)

Compliance

I accept the Terms and Conditions.

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