aafmindia

INSTITUTIONAL / GROUP ONLINE REGISTRATION FORM

INSTITUTIONAL / GROUP DETAILS
Institution Name*
Order ID*
Address*
State* City*
Pin/Zip Code* Citizen*
EmailID* Tel*
  *Invoice would be raised as per the above details
INSTITUTIONAL / GROUP PERSON CONTACT DETAILS
First Name* Last Name*
Designation*
Address*
State* City*
Pin/Zip Code* Citizen*
EmailID* Tel*
INSTITUTIONAL / GROUP PAYMENT DETAILS
Certification Type*    
Login ID* Password*
Base Amount* Processing Fees*
Total Amount*
Payment Remarks*