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    Automobile Association of Upper India
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Online Membership (For Individuals/Companies)
(Fields marked with a * are mandatory to fill)
Name of Individuals/Company
Type of membership required  
Residential Address
Telephone No. Residence)  
Office Address  
Telephone No. (Office)  
Fax  
E-mail  
Profession  
Post Held  
Vehicle Details
No Type of Vehicle  Make Year Of 
Manufacturer		 Registration 
No		 Insurance
 Company
1
2
3
 Driving License Detail
No License No. Date of Issue Valid Up to Issued By Remarks
1
2
3

I/We Agree to be bound by all rules, regulation and by law of the Association if elected

On Submission of this online form, kindly send a demand draft/Cheque in favour of "The Automobile Association of Upper India" for the requisite membership fees. (Please check the membership table for the application amount) Do write your name and Telephone number along on the reverse of the DD and send the same under covering letter at the following address:-

AAUI
C-8, Institutional Area,
South of IIT,
New Delh-16, 
India