Membership Checkout

Membership Information

You have selected the Academia membership level.

Annual membership fee - 3,000/-

The price for membership is INR 3,000.00 now. Customers in GST will be charged 18% tax.

Membership expires after 1 Year.

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Associate

1. Entity Information —

Name of the Company / Organization

Phone Number

Email ID

2. Factory / Manufacturing Unit Details —

Unit Address

Phone Number

Email ID

3. Statutory & Registration Details —

(Please attach self-attested copies of the following certificates)

GST Registration No

PAN

DIN (Director Identification No)

LLPIN (if applicable)

CIN (if applicable)

UDYAM/MSME (if applicable)

Mfg. / Trade License No

4. Leadership & Communication —

Name(s) & Designation of Authorized Signatories:

Name 1

Name 2

Name 3

Name 4

Official WhatsApp Group Contacts: —

WhatsApp Contact Name

WhatsApp Contact Number 1

WhatsApp Contact Number 2

Approved Email for Correspondence

Nature of Business

I/We hereby declare that the information furnished above is true and correct to the best of my/our knowledge and belief. I/We understand that any false or misleading information may result in rejection or cancellation of the start-up membership. I/We agree to abide by the rules, regulations, and code of conduct of the Association as applicable from time to time.

Academia

A. Personal Details —

Full Name of Applicant: [Dr ] [Ms ] [Mr ] [Mrs]

Date of Birth

Designation

Contact Phone Number: Mobile

Land line

Contact Email

Correspondence Address

B. Educational & Professional Details —

Highest Educational Qualification

Affiliation Type

Name of Institution / Organization

• Department / Division

Area(s) of Expertise

(Keywords allowed: e.g., Biotechnology, entomology pathology microbiology Agronomy etc)

C. Scientific Contributions —

a. Research Articles (Published)

b. Book Chapters

c. Books Authored / Edited

d. Popular / Extension Articles

D. Research Mentorship (For Faculties): —

a. Ph.D.

b. Post-Graduates

c. Graduates

I hereby declare that the information furnished above is true and correct to the best of my/our knowledge and belief. I understand that any false or misleading information may result in rejection or cancellation of the academia membership. I agree to abide by the rules, regulations, and code of conduct of the Association as applicable from time to time.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Processing...

ceo@bipaindia.org

+91 7075846679

Membership Information

Account Information

Associate

Academia

Billing Address

Follow My Social Channels