Institutional Membership - IASBRI

A. Institutional Information

Institution/Organization Name *

Organisation Type *

Nature of Activity or Business

Address *

City *

Country *

B. Primary Contact Information

Full Name *

Title/Position

Department

Primary Email *

Retype Primary Email *

Alternate Email

Retype Alternate Email

WhatsApp Number *

Retype WhatsApp Number *

C. Contact Information

Personal Email (Permanent) *

Retype Personal Email *

Alternate Personal Email (Optional)

Retype Alternate Personal Email

Mobile Number (Country Code & Number) *

Retype Mobile Number *

Alternate Mobile Number (Optional)

Retype Alternate Mobile Number

D. Institutional Social Media Links (URL)

Facebook

X (Twitter)

Instagram

E. Strategic Knowledge Partnership Interest

Yes No

F. Event Collaboration Interest

Yes No

G. IASBRI Committee / Centers / Chapter Interests

Please select all that apply:

H. User ID and Password

User ID (Email) *

Retype User ID *

Password (Created by Member) *

Retype Password *

I. Declaration

I, on behalf of [Institution/Organization Name], hereby apply for Institutional Membership at IASBRI. I confirm that the information provided in this application is accurate and true to the best of my knowledge. I understand and agree to adhere to the terms and conditions of Institutional Membership as outlined by IASBRI.

I accept the above declaration and agree to the terms and conditions. *

J. Privacy Note

All the information you provide in this form will only be used for IASBRI activities. We guarantee this information will not be shared with any external party.

K. Payment Information

Payment Option:

Institutional Membership (5 Years) USD 500

An auto-generated email will be sent to you upon completion of the payment.

International Academy of Sustainable Business, Research, and Innovation

Institutional Membership Application