Indian Institute of Holistic Wellness Development (IIHWD)

Membership Application Form

IIHWD is a professional institution dedicated to advancing holistic wellness through education, research, professional development, leadership, and community impact.

Estimated Completion Time: 3–5 Minutes

We bring together students, practitioners, educators, researchers, entrepreneurs, healthcare professionals, and institutions committed to promoting wellbeing and professional excellence.

As a Member, You Can:

Access learning and professional development opportunities
Participate in events, workshops, and knowledge initiatives
Connect with professionals across the wellness sector
Contribute to research, education, and community initiatives
Support the growth of a stronger wellness ecosystem

Please complete the following application accurately. Applications are reviewed in accordance with IIHWD membership policies and guidelines.

Personal Information

Q1. Full Name *

Q2. Mobile Number *

Q3. Email Address *

Q4. City *

Q5. State *

Q6. LinkedIn Profile (Optional)

Photo Upload (Optional)

JPG, PNG, GIF or WEBP · Max 5MB · Not mandatory

Gender (used for your profile icon if no photo is uploaded)

Identity Verification (Optional)

Providing your Aadhaar number helps us verify your identity for membership approval. It is entirely optional. Your Aadhaar number is stored in encrypted form (AES-256) and is used solely for identity verification purposes. It is never shared with third parties or used for any other purpose.

Aadhaar Number (Optional — 12 digits)

Enter your 12-digit Aadhaar number. Leave blank if you prefer not to share it.

Professional Identity

Q7. Which category best describes you? *

Q8. Current Organization / Institution (Optional)

Q9. Current Role / Designation (Optional)

Q10. Experience Level *

Section C — Wellness Interests

Q11. Areas of Interest (Select up to 3)

Q12. Primary Area of Focus

Q13. What are your primary objectives for joining IIHWD? (Select up to 3)

Professional Development Knowledge & Learning Networking & Collaboration Industry Development Research & Innovation Leadership Development Community Impact Business Growth

Q14. Why would you like to become a member of IIHWD? (Maximum 150 words)

Q15. How would you like to contribute? (Select all applicable)

Volunteer Speaker Mentor Research Contributor Content Contributor Event Support Community Building Not Sure Yet

Q16. Key Skills / Expertise You Can Contribute

Membership Type & Declaration

Q17. Membership Type

Q18. Declaration

Information provided is accurate. I support the mission and values of IIHWD. I agree to abide by institutional policies and code of conduct.

I am not a robot

Need Assistance?

Our team is here to help you with your application process.

Call Us: +91 11 4050 0900 Email: info@iihwd.org

INDIAN INSTITUTE OF

HOLISTIC WELLNESS DEVELOPMENT (IIHWD)