Apply Form

Salutation (optional)

Name on Certificate/Card* (as to be printed)

Full Name

Email Address*

Mobile Number* (+91)

Date of Birth*

Address

Address Line 1*

Address Line 2 (optional)

City*

State/UT*

Pin Code*

Professional Background

Current Role*

Organisation / Institution Name*

Designation*

Highest Qualification*

Years of Experience*

Subjects / Areas handled (optional)

LinkedIn or Professional Profile (optional)

Passport-size Photo (JPG/PNG)

Declaration & Payment

I agree that membership fees are non-refundable. Payments will be accepted only through the payment gateway link provided here. I confirm that the information provided is accurate. AIPU may modify benefits and terms.

NOTE:**Payments are securely processed by The 100 Skills, the official operational partner of AIPU

Global Educators Fellowship

Applicant Details

Address

Professional Background

Declaration & Payment