Diabetes Integrated Wellness Society

INTEGRATED DIABETES WELLNESS SOCIETY

Registered under the Societies Registration act XXI of 1860

Registration No. S/68562/2010

Office HIG-37, Brij Vihar, Ghaziabad-201011 (U.P.)

MEMBERSHIP FORM

To,

The Secretary,

I would like to become life/annual member of the society. I am enclosing my Bio-Data as follows










    Phone Number