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The Founding Council Form
📍 Your Pin Code & Location
Pioneer Zone
 
Please enter a valid 6-digit PIN code.
City / District is required.
Please select your state.
👤 Personal Details
Full name is required.
Please select your gender.
Enter a valid mobile number.
Enter a valid email address.
Format: DD-MM-YYYY e.g. 15-08-1990
Enter a valid date in DD-MM-YYYY format.
Stored securely & never shared.
Enter a valid 12-digit Aadhaar number.
Profile photo preview
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JPG or PNG, max 2 MB. Clear face photo preferred. Stored securely.

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💼 Professional Details
Please select your field of work.
Please select your designation.
🏛 Founding Council Role Interest

Select all that apply.

🎯 Sector You Can Contribute To
🤝 Referral Details
 
✍ What makes you the right fit?
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Founding Council Form Received

Your IMC Founding Council ID
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Please save your Member ID above.
Your Founding Council application has been received — set up your portal access below to get started right away.

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You can also do this later from the Member Portal login screen.