Membership Application

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EMDR Association formed in India provides trainings, hosts conferences and conducts humanitarian programs. EMDR Association in India is registered under Society Registration Act, Maharashtra State, with Registration No.1768, 2013. Become a member and join hands!

Url

Title

First Name *

Middle Name

Last Name *

Email Address *

Contact Number *

Academic Qualification *

Spoken Languages *

Present Occupation *

City of Residence *

Applying for Membership :

Honorary Member

Professional Member (Professional / Associate/ Life)

Student Member (Annual)

Are you a new member? *

Yes No

(Regitration fees for all New Members : INR 500/- only)

Part 2 Training Dates & Year *

Membership Fees Amount

Total:

Residence Address *

Is it your permanent Address? *

Yes No

Work Address same as residence address? *

Yes No

Work Contact *

Would you like to add your name to Find an EMDR Therapist Database published on our website? *

Yes No

Do you agree to register and publish your name on our website as a volunteer for TRN with EMDR Association, India? *

Yes No

For electronic transfer, send registration payment to:

Account Name: EMDR Association
Account Number : 922020067152383
Account type : Current
Bank Details : Axis Bank Limited, Nariman Point Branch, Ground Floor, G-1, Maker
Chambers IV, Nariman Point, Mumbai – 400021, Maharashtra (MH), India
IFS Code : UTIB0000173
Swift Code : AXISINBB173

Money transfer charges will be liable to the sender.

Kindly Make payments only after you receive approval from our team.

Honorary Membership

Any individual who has rendered outstanding service in the field of EMDR and who shall have been invited by the executive committee to join the Association as Honorary Members for life.

Professional Member

Any persons trained for Part 1/ 1 Part 2 of EMDR and reside within India , as well as other Countries outside India (decided at the discretion of the Annual General Meeting), who subscribe to the objectives of the Association . Professional membership members would be willing to volunteer the services when needs arises for grassroots activities. Professional members could be trained by trainers qualified by Humanitarian Assistant Program (HAP), USA and HAP Europe & facilitators to participate for conducting further training in India and in neighbouring South Asian countries.

Student Members

It is open to post graduate students from mental health and social science faculties including psychology, psychiatry, human development and social work. Student members will be permitted to attend meetings, seminars and participate in research activities. Student members will not have voting rights and will not be permitted to practice EMDR technique for their therapeutic interventions unless they complete Part I training.

Your Full name

Your email

Your Mobile No

Your Address

Is it your permanent address?
yesno

Your Permanent Address

Work address same as Residence address?
yesno

Your work Address

Present Occupation

Educational Qualification

Upload CV

Kindly scan the copy of your highest degree of education which meets the eligibility criteria for this training and upload here. (supported files:jpeg, png, jpg, pdf)

Are you a New Member?
YesNo
(Regitration fees for all New Members : INR 500/- only)

Applying for Membership:
Honorary MemberProfessional Member (Professional/Associate)Associate Member (Professional/Associate)Student Member (Student)

Traning & Fees

Honorary Member : ₹ 0
Professional Member : ₹ 5,000/- only
Associate Member : ₹ 1,000/- only
Student Member : ₹ 750/- only

For electronic transfer, send registration payment to:

Account Name: EMDR Association
Account Number : 913020050319821
Account type : Current
Bank Details : Axis Bank Limited, Nariman Point Branch, Ground Floor, G-1, Maker
Chambers IV, Nariman Point, Mumbai – 400021, Maharashtra (MH), India
IFS Code : UTIB0000173
Swift Code : AXISINBB173

Kindly submit a print as proof of the payment when you arrive on day 1.

Money transfer charges will be liable to the sender.

Kindly Make payments only after you receive approval from our team.

Professional Member

Associate Member

Any person who subscribes to the objectives of the Association and may or may not be trained with Part 1 / Part 1 2, who reside in India or neighboring other countries. Associate members may not wish to participate in volunteer services and attend to grass root activities. Associate members will not have voting rights. Associate members will be permitted to attend meetings, seminars and participate in research activities.

Student Members

is open to post graduate students from mental health and social science faculties including psychology, psychiatry, human development and social work. Student members will be permitted to attend meetings, seminars and participate in research activities. Student members will not have voting rights and will not be permitted to practice EMDR technique for their therapeutic interventions unless they complete Part I training.

Honorary Membership

Any individual who has rendered outstanding service in the field of EMDR and who shall have been invited by the executive committee to join the Association as Honorary Members for life.

Professional Member

Associate Member

Student Members

Fill up Membership form