{"id":1209,"date":"2026-03-05T07:38:18","date_gmt":"2026-03-05T07:38:18","guid":{"rendered":"https:\/\/iifm.brightcodeapp.com\/?page_id=1209"},"modified":"2026-04-28T11:10:58","modified_gmt":"2026-04-28T11:10:58","slug":"membership-consent-form-2","status":"publish","type":"page","link":"https:\/\/www.iifmalumni.com\/?page_id=1209","title":{"rendered":"Membership Consent Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1209\" class=\"elementor elementor-1209\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-76a6bcd elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"76a6bcd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ad2c93e\" data-id=\"ad2c93e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ba1a4a elementor-align-left elementor-widget elementor-widget-bdevs-page-banner\" data-id=\"6ba1a4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdevs-page-banner.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t  \r\n    <!-- Start Banner -->\r\n    <div class=\"inner-banner blog\">\r\n        <div class=\"container\">\r\n            <div class=\"row\">\r\n                <div class=\"col-sm-12\">\r\n                    <div class=\"content\">\r\n                                                <h1>User Registration<\/h1>\r\n                                                                        <p>Join the alumni network by completing registration today<\/p>\r\n                                            <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <!-- End Banner --> \r\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-ced6356 e-flex e-con-boxed e-con e-parent\" data-id=\"ced6356\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-22717cd e-con-full e-flex e-con e-child\" data-id=\"22717cd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-27b57ff elementor-widget elementor-widget-shortcode\" data-id=\"27b57ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-3104\">\n\t\t\t\t#wpforms-3104 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-3104\"><form id=\"wpforms-form-3104\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3104\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1209\" data-token=\"cc977932086a5890faa1a5d39531771d\" data-token-time=\"1794159399\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-3104-field_9-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"9\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-3104-field_9\" >member Phone <\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-3104-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-3104-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_1\">First Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3104-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" placeholder=\"First Name\" aria-errormessage=\"wpforms-3104-field_1-error\" required><\/div><div id=\"wpforms-3104-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_2\">Last Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3104-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" placeholder=\"Last Name\" aria-errormessage=\"wpforms-3104-field_2-error\" required><\/div><div id=\"wpforms-3104-field_3-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-field-select-style-classic\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_3\">Year of Graduation <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-3104-field_3\" class=\"wpforms-payment-price wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][3]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>The year you passed out of IIFM<\/option><option value=\"1\" data-amount=\"0.00\" >1982<\/option><option value=\"2\" data-amount=\"0.00\" >1983<\/option><option value=\"3\" data-amount=\"0.00\" >1984<\/option><option value=\"28\" data-amount=\"0.00\" >1985<\/option><option value=\"27\" data-amount=\"0.00\" >1986<\/option><option value=\"26\" data-amount=\"0.00\" >1987<\/option><option value=\"25\" data-amount=\"0.00\" >1988<\/option><option value=\"24\" data-amount=\"0.00\" >1989<\/option><option value=\"23\" data-amount=\"0.00\" >1990<\/option><option value=\"22\" data-amount=\"0.00\" >1991<\/option><option value=\"21\" data-amount=\"0.00\" >1992<\/option><option value=\"20\" data-amount=\"0.00\" >1993<\/option><option value=\"19\" data-amount=\"0.00\" >1994<\/option><option value=\"18\" data-amount=\"0.00\" >1995<\/option><option value=\"17\" data-amount=\"0.00\" >1996<\/option><option value=\"16\" data-amount=\"0.00\" >1997<\/option><option value=\"15\" data-amount=\"0.00\" >1998<\/option><option value=\"14\" data-amount=\"0.00\" >1999<\/option><option value=\"13\" data-amount=\"0.00\" >2000<\/option><option value=\"12\" data-amount=\"0.00\" >2001<\/option><option value=\"11\" data-amount=\"0.00\" >2002<\/option><option value=\"10\" data-amount=\"0.00\" >2003<\/option><option value=\"9\" data-amount=\"0.00\" >2004<\/option><option value=\"8\" data-amount=\"0.00\" >2005<\/option><option value=\"7\" data-amount=\"0.00\" >2006<\/option><option value=\"6\" data-amount=\"0.00\" >2007<\/option><option value=\"5\" data-amount=\"0.00\" >2008<\/option><option value=\"4\" data-amount=\"0.00\" >2009<\/option><option value=\"31\" data-amount=\"0.00\" >2010<\/option><option value=\"30\" data-amount=\"0.00\" >2011<\/option><option value=\"29\" data-amount=\"0.00\" >2012<\/option><option value=\"36\" data-amount=\"0.00\" >2013<\/option><option value=\"35\" data-amount=\"0.00\" >2014<\/option><option value=\"34\" data-amount=\"0.00\" >2015<\/option><option value=\"33\" data-amount=\"0.00\" >2016<\/option><option value=\"32\" data-amount=\"0.00\" >2017<\/option><option value=\"39\" data-amount=\"0.00\" >2018<\/option><option value=\"38\" data-amount=\"0.00\" >2019<\/option><option value=\"37\" data-amount=\"0.00\" >2020<\/option><option value=\"43\" data-amount=\"0.00\" >2021<\/option><option value=\"42\" data-amount=\"0.00\" >2022<\/option><option value=\"41\" data-amount=\"0.00\" >2023<\/option><option value=\"40\" data-amount=\"0.00\" >2024<\/option><option value=\"46\" data-amount=\"0.00\" >2025<\/option><option value=\"45\" data-amount=\"0.00\" >2026<\/option><\/select><\/div><div id=\"wpforms-3104-field_4-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-field-select-style-classic\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_4\">Academic Programme  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-3104-field_4\" class=\"wpforms-payment-price wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>The course\/programme at IIFM<\/option><option value=\"1\" data-amount=\"0.00\" >PGDFM<\/option><option value=\"2\" data-amount=\"0.00\" >PGDSM<\/option><option value=\"3\" data-amount=\"0.00\" >MRM\/MPHIL<\/option><option value=\"5\" data-amount=\"0.00\" >FPM<\/option><option value=\"4\" data-amount=\"0.00\" >PHD<\/option><\/select><\/div><div id=\"wpforms-3104-field_5-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_5\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3104-field_5\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][5]\" placeholder=\"Your contact email address\" spellcheck=\"false\" aria-errormessage=\"wpforms-3104-field_5-error\" required><\/div><div id=\"wpforms-3104-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_6\">Current Country  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3104-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" placeholder=\"Current Country \" aria-errormessage=\"wpforms-3104-field_6-error\" required><\/div><div id=\"wpforms-3104-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_7\">Current Organization  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3104-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" placeholder=\"The organization you are professionally currently engaged with \" aria-errormessage=\"wpforms-3104-field_7-error\" required><\/div><div id=\"wpforms-3104-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_8\">Current Town\/City  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3104-field_8\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][8]\" placeholder=\"The town\/city you are currenly based in \" aria-errormessage=\"wpforms-3104-field_8-error\" required><\/div><div id=\"wpforms-3104-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_10\">Country Dialling Code  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-3104-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Country Dialling Code <\/option><option value=\"+1\"  class=\"choice-1 depth-1\"  >+1<\/option><option value=\"+1340\"  class=\"choice-2 depth-1\"  >+1340<\/option><option value=\"+1670\"  class=\"choice-3 depth-1\"  >+1670<\/option><option value=\"+1787\"  class=\"choice-18 depth-1\"  >+1787<\/option><option value=\"+1868\"  class=\"choice-17 depth-1\"  >+1868<\/option><option value=\"+20\"  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>+48<\/option><option value=\"+49\"  class=\"choice-115 depth-1\"  >+49<\/option><option value=\"+91\"  class=\"choice-60 depth-1\"  >+91<\/option><option value=\"+92\"  class=\"choice-73 depth-1\"  >+92<\/option><option value=\"+93\"  class=\"choice-58 depth-1\"  >+93<\/option><option value=\"+94\"  class=\"choice-57 depth-1\"  >+94<\/option><option value=\"+991\"  class=\"choice-56 depth-1\"  >+991<\/option><option value=\"+992\"  class=\"choice-55 depth-1\"  >+992<\/option><\/select><\/div><div id=\"wpforms-3104-field_11-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-3104-field_11\">Phone Number  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-3104-field_11\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][11]\" placeholder=\"Phone Number \" step=\"any\" aria-errormessage=\"wpforms-3104-field_11-error\" 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