Membership Company Information Company Name* Address* Phone/Mobile* Email* Website Head of the Organization (CEO/MD/Chairman/President) Name* Designation* Mobile* Email* Marketing Contact Name Designation Mobile Email Sales Contact Name Designation Mobile Email Operations Contact Name Designation Mobile Email Regulatory Contact Name Designation Mobile Email Finance Contact Name Designation Mobile Email HR / Administration Contact Name Designation Mobile Email Assistant to the Head Name Designation Mobile Email Any Other Contact Name Designation Mobile Email Fees The Annual Subscription fee is Rs. 15,000/- + GST (18%) = Rs. 17,700/- (April to March) * For individual membership kindly contact Secretariat at contact@hepai.in Payment Details Online Payment: Click here to Pay Bank Transfer: Account Name: HEPAI Account No.: 000000000 Bank: State Bank of India, Nariman Point, Mumbai – 400021 IFSC: 0000000 | Branch Code: 0000 | MICR: 00000 | Swift: 0000000