ICEC MEMBERSHIP FORM

MEMBERSHIP TYPE
Please select a membership option:

 Academic Non-Academic/Corporate Government

Academic - For accredited academic institutions from India and/or Canada
Non-Academic / Corporate - For corporations and professional organizations from India and/or Canada
Government / Complimentary (no Membership fees) - For any Government Body / Federation in either country

* Membership is subject to approval from the Executive Board of ICEC.

MEMBERSHIP TERM
Please select a membership term:

Canadian Members:  $1000 - 1 year term $1700 - 2 year term $2300 - 3 year term
OR
Indian Members:  INR 12,000 - 1 year term INR 20,000 - 2 year term INR 27,000 - 3 year term

* Please see below for payment options.

INSTITUTION INFORMATION

Institution / Organization Name (required)

Registered Address (required)

City (required)

Province / State (required)

Zipcode / Postal Code (required)

Institutional Email

Website

Phone Number

OFFICIAL REPRESENTATIVE CONTACT INFORMATION (International Director India/Canada):

Representative Name (required)

Title / Position (required)

Phone Number

Cell Number

Email Address (required)

2ND REPRESENTATIVE CONTACT INFORMATION (International Director / CEO / COO India/ Canada):

Representative Name

Title / Position

Phone Number

Cell Number

Email Address

MEMBER PROFILE

Upload your company logo to be featured in our member listing and your member profile.

If you wish to include content or links, including social media and services/products, in your member profile please enter or upload them here - if you do not enter any content ICEC will generate your member profile from publicly available information.

DECLARATION AND ACKNOWLEDGEMENT
 I/We agreed to abide by the below terms & conditions

I/We declare to the best of my knowledge that all the information supplied on and with this form is true and complete. I agree to follow the norms as formalized and announced. I also agree to the use and disclosure of information to Indian & Canadian government agencies if required and vice versa.

* ICEC respects and is committed to maintaining the privacy of all members.

All information provided will be used in accordance with relevant privacy legislation and is understood to be provided on a commercial in confidential basis.

For any assistance in completing this application form, please contact the Membership Team at member@indocanadaeducation.org.