Register – STPI

STP-I MEMBERSHIP ONLINE REGISTRATION

Life Membership Number

Username or E-mail*

Re-enter your E-mail Address*

Password*

Confirm Password*

Payment Reference No*

Personal Details

First Name*

Last Name

Gender

MaleFemale

Birth Date

Mobile Number*

Phone Number (Residence)

Educational Details

Degree*

Major Field/Subject*

In case of Others (Degree/Major Field/Subject), Please specify Details

Institution/College/University

Year of Passing

Board certification

Details of current Job

Classification

In case of Others, Please specify Details

Designation

Department

Name of Institution/Company/Organisation

Institution/Company/Organisation Address

City

State*

Country*

In case of Others (State/Country), Please specify Details

Pin Code or Zip

Phone Number (Office )

Only fill in if you are not human