Membership Checkout

Membership Information

You have selected the Organization membership level.

Any organization involved in mental health education, promotion, service, advocacy, or policy is eligible for Affiliate Organization Membership.

The price for membership is INR 0.00 now.

Create a new account or log in to an existing account using a connected platform.

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Will be visible to Everyone.

Address

Mobile

Confirm Mobile No.

Address Field 1

Address Field 2

Identity Proof

Address Proof

Highest Qualification

RCI-MBBS No

Member Number

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

I agree to the Terms and Condition

Processing…