Membership Registration

If You are already registered? Sign In

Mobile No.: Enter Mobile OTP

Email Id: Enter Email OTP

Membership Category*

First Name*

Last Name*

Name on the Badge*

Upload Photo

(Only JPEG or PNG format accepted.
Size max. 500 px X 500 px at 72 DPI)

Date of Birth*

Qualification*

Gender*

Male

Female

Select Chapter*

LinkedIn URL

Twitter URL

Company*

Designation*

Year/ Semester*

Institute*

Name for GST Invoice.

GST No.

Current Address*

City*

Pincode*

State*

Country*

Is the permanant address same as the current address?

Permanent Address*

City*

Pincode*

State*

Country*

Would you be interested in volunteering for various Exqualifi initiatives?*

Yes

Bio (Approximate 100 words)*

I hereby agree to abide by Exqualifi Member's Code of Ethics

Enter this captcha below : 6733

By clicking "Submit," I agree to Equalifi's Terms & Conditions and Privacy Policy. I also agree to receive emails from Equalifi and I understand that I may opt out of Equalifi email subscription at any time.

Enter this captcha below : 1016

Enter this captcha below : 8134

Enter this captcha below : 672

Enter this captcha below : 9423

Enter this captcha below : 1634

Enter this captcha below : 4742

Enter this captcha below : 1469

Enter this captcha below : 49

Enter this captcha below : 1926

Enter this captcha below : 9266

Enter this captcha below : 4880

Enter this captcha below : 7188

Enter this captcha below : 8318

Enter this captcha below : 2207

Enter this captcha below : 126

Enter this captcha below : 7164

Enter this captcha below : 9895

Membership Registration

Sign up to create your account

Account Information

Verification

Personal Information

On Email

Legal