Lucknow Management Association
(Affiliated to All India Management Association)
Scientific Convention Centre, 1 Shahmina Road, Chowk,
Lucknow 226003, Tel: 0522-2258678, 8687577480
Website:-www.lmalucknow.in, Email: lmalucknow2016@gmail.com
SPOUSE MEMBERSHIP APPLICATION FORM

(Application for Life Membership/Annual Membership)

(Note: Spouse Members will not have voting right at AGM)

Register & Pay Online


1. Name of Applicant(Mr/Ms): Upload Photo
2. Spouse’s Name and type of Membership (Life/Annual)
3. Address, would prefer mailing at office address/home address (tick one):
 
Phone:
Mobile:
Fax:
E-Mail:
4. Is applicant Housewife ? ( Yes / No), If Employed then please specify
i. Organization Name Designation
ii. Type of  Organization
iii. Nature of Business of your Organization
5. Qualification  
 
Degree Degree Name Year University/Institute Specilization
Graduate Degree
Post Graduate Degree
Any Other
         
6. Experience if any
7. Area of Activity where you would like to contribute:
8. What services you expect from LMA:
9. Type of Membership Lifetime Membership Annual Membership
10. Mode of Payment DD/Chq Online  
11. DD/Cheque No. Dated enclosed for Rs.500 (life) / Rs.100 (annual) (Plus GST @ 18%)
  Signature: