Context - AIDS has evolved to a global pandemic which has infected tens of millions of people in < 20 years. The integrated counselling and testing centre (ICTC) services have begun as a cost effective intervention to control the epidemic. Aims - To study the sociodemographic characteristics of HIV positive clients. Settings and Design - A cross sectional, record based observational study. Methods and Material - The study was conducted among the clients, selected by conventional sampling method, who tested positive for HIV in ICTC centre of Medical college Hospital in Navi Mumbai from 1/1/08 to 31/12/09. Results - The study included 114 subjects of whom 62 were males, 51 were females and 1 was transgender. A majority of subjects (92.9%) were in age group pf 15 - 49 years. HIV seroprevalence rate decreased with increase in educational level. Majority of the subjects were daily wagers and domestic help by occupation. Sixty per cent of the attendees were married. Sixty three per cent of the clients were migrated to Navi Mumbai and 68 % of them were staying alone without their family. Heterosexual was the commonest (96.4%) route of transmission where as Mother to Child transmission was in 2.6% cases. Only 22.2% of pregnant women-child pair was given Nevirapine to prevent parent to child transmission. Tuberculosis was positive in 11.4% of subjects. Conclusions - Since Maharashtra is considered the high prevalence state for HIV positivity, for the people of Mumbai, intense IEC activities through increased availability of ICTC services will be beneficial for the community.