IMDS Membership Application Form

Full Name*

Spouse Name

No. Of Children*

Phone No.*

Phone No.2

Email*

Which kommune you leave in Denmark*

Address in India*

State*

City*

Introduction & Motivation:

Reference from IMDS 1*

Reference from IMDS 2*

Membership Amount details:-

Note:-Membership fee is nonrefundable.

Family members defines 2 adults and max 4 children up to 18 years old

Please send your online application for membership, you will receive the mail with account details to transfer the amount.

I solemnly and sincerely declare that I have residence permit and CPR No in Denmark. I obey the laws of IMDS to became member and serve the IMDS in all possible ways to promote the IMDS Vision and Mission in Danish society.

Date

Place*

Attach your photo (Please Upload Good Image)*