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 Corporate/Institution Membership
*Category of Membership:	Corporate Institution
*Corporate/Institution Name :
*Type of Membership:	Corporate   Institution
*Correspondence Address :
*Phone No:	-
*Fax No:
*E-mail:
Primary Point of Contact:	Name Phone No. Email
Secondary Point of Contact:	Name Phone No. Email
Country	Select one India Others States: Select oneAndaman and NicobarAndhra Pradesh Arunachal PradeshAssamBiharChandigarhChhattisgarhDadra and Nagar HaveliDaman and DiuDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPondicherryPunjabRajasthan Sikkim TamilnaduTripura Uttar Pradesh Uttaranchal West Bengal City: Choose City... Country: State: City:
How do you come to know about ACCS?
Referred to ACCS by:
Contact details [Please select the appropriate box]	Show Hide
I agree to abide by the rules and regulations of the Advanced Computing and Communications Society.
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