Membership application form for individual

When you would like to be a member of DIC, please read our privacy policy and fill the following membership application form. If your legal entity, not you as individual, want to become a member of DIC please use this linked form. You can refer detail about how to become a member of DIC in this linked page.

Membership division (required)
Your namerequired
Family name
Given name
Other name
Residential addressrequired Zipcode :

Phone number
Mobile number
Your e-mail address
Job organization, School or Universityrequired
How did you come to know about Discover India Club ?
What do you expect most from DIC ?
Where do you like to visit in India ?
Are you interested in any Indian art or artists ?
What is your the other interest about India ?
Any other comments or requests ?

Thank you for your register application

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