Apply to JAIA Membership for Institutions

Institution Information

Name of the institution

Brief about the institution

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Institution email *

Institution Phone *

Date of establishment of the institution

Perfix

First Name *

Last Name *

Date of Birth *

Month *

Day *

Year *

Nationality

Gender

Phone *

Email *

Address

City

State / Province

ZIP / Postal code

Country

Statute documents (bylaws, internal regulations, etc.). *

No file chosen

File size must not exceed 5 MB.

Certificate of registration/incorporation *

No file chosen

File size must not exceed 5 MB.

Official license *

No file chosen

File size must not exceed 5MB.

Profile of the CEO or President or equivalent – and the relevant employee, as applicable. *

No file chosen

File size must not exceed 5MB.

List of Board of Directors. *

No file chosen

File size must not exceed 5MB.