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Advanced Computing and Communications Society
(Registered under the Karnataka Societies Registration Act, 1960)
Gate#2, CV Raman Avenue (Adj to Tata Book House)
Indian Institute of Science, Bangalore 560 012
Visit: www.accsindia.org, Email: secretary@accsindia.org
Telefax: (+9180) 2360 7142
Membership Application Form for Life/Annual/Student Membership
(All the fields with '*' is mandatory)
*Category of Membership:
Life Annual Student
Full Name :
Salutations First Name* Middle Name Last Name*
*Date of Birth:
*Gender: Male   Female   
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Organization
*Correspondence Address :
*Phone No: -
*Mobile No:
Fax No:
*E-mail:
Alternate E-mail:
*Country
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Membership Fee & Categories:
Category Resident in India (Rs) Term
Corporate Membership 1,00,000/- One-time payment
Institutional Membership 50,000/- One-time payment
Life Member 3,500/- One-time payment
Annual Member 500/- Annual payment
Student 100/- Annual payment