Golden Academic Membership – Registration Form

Name Designation Select Gender Contact no. Your Email Enter Specialization Qualification Reference by: (Name / Contact No) Address of the Organization Address of the Correspondence Country /Nationality State City Pin Code: Upload Id Proof Upload Updated CV ___________________________________________________________ Click here to Pay Now INR 11000 Rs. (1 Year)

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Payment Details (Date / Amount / Transaction ID)* Upload Successfully Payment Details (Screen Shot) Your Message I read the membership scheme managed by Research Foundation of India (RFI) and abide by its rules and regulation, more fully stated here above.