AIPMA Membership Registration Your Name * Father/husband name * Your Age * Date of birth * Address * Office address Qualification * Occupation * Blood group * District * State * Nationality * Phone number * Your Email * Name Address of the newspaper/ media * Designation in AIPMA * Introducer’s Name, Phone number & Details * Upload your photo * Pledge ❖ I respect the sovereignty of India ❖ I never indulge in any illegal activities ❖ I abide by the rules framed by the association ❖ I will strive for the betterment and upliftment of the society ❖ Irrespective of religion caste language I will put my effort to enable unity. ❖ I hereby agree to strictly adhere to the above pledge ❖ I also understand that in the event of a violation of the pledge the association reserves the right to cease or cancel my membership. I agree Form download Tamil Form download Click here English Form download Click here Hindi Form download Click here