Application Procedure

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Application Procedure
International Individual Membership

Application for International Individual Membership

Name of Applicant *:

Mailing Address Line 1 *:

Mailing Address Line 2 *:

Mailing Address Line 3 :

City *:

Zip code :

State :

Country *:

Telephone No / Mobile *:

Website URL :

Website URL should start with http:// or https://

Photo*:

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Email (Office) *:

Email (Personal) *:

Your main Email Id on which you would like to receive all communication: *:

Highest Educational Qualification : *:

Date of Birth *:

Name of organisation working for : *:

Designation : *:

Professional Activity *:

Research Users Market Research Service Provider

Main line of business *:

FMCG Clothing & Apparel Retail IT services/software IT hardware Telecom services Telecom equipment Media (Publisher/Broadcaster) Advertising and media services White goods Industrial goods/services Others (Please Specify)

Type of services provided (tick all applicable): *:

Data Collection Face to Face CATI Focus Groups Coding and Data Entry Data processing Scripting Hosting and Web based services Advance Analytics Transcription Translation Charting/Visualization IT /Application development Others (Please Specify)

I declare that the information provided above is accurate and true and I / We agree to abide by the MRSI's rules and regulations and code of conduct.

Proposed by *:

Contact Person *:

Seconded by *:

Contact Person *:

Note: Both 'Proposer' and 'Seconder' must be Full Corporate Members.

Please fill the captcha code *:

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