Membership Form
Dear Sir,
I am desirous of enrolling myself as a Member of the ACSF (India) and agree to abide by the Rules
and Regulations of the Association, upon admission. The necessary details are given below:
Name of the Member :
Your answer
Designation & Organization :
Your answer
Correspondence Address of the Member :
Your answer
Primary Email ID :
Your answer
5. Mobile & Telephone No. :
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Please mention if you have been a Commonwealth Scholar or Fellow :
Your answer
Level of Study (Masters/Doctoral/Post-doctoral/Short Term/Academic Fellow/Others please specify) :
Your answer
Year of Study/Training in UK :
Your answer
University Attended in UK and Field of Study :
Your answer
Present Area of Work :
Your answer
Interest Areas (How would you like to contribute to the ACSF?) : (Optional)
Your answer
Achievements/Awards/Credentials that you may like to share with fellow-ACSF members :(Optional)
Your answer
PAYMENT DETAILS:
Your answer
PAYMENT DETAILS:
I. One-time Admission Fee: Rs. 500/-
ii. Life-time Membership Fee (Rs. 5,000/-) or Annual Subscription (Rs. 1,000/- per annum):
(Please tick whether you wish to become a life-time member or pay subscription annually)
TOTAL PAYMENT: Rs. /-
(In words) :
MODE OF PAYMENT (Tick any of the below options):
(Details of ACSF bank account is mentioned below)
Account Name: Association of Commonwealth Scholars and Fellows
Bank: UCO Bank, I.P. Estate, New Delhi – 110002
Current Bank A/C No: 18200210000861
IFSC Code: UCBA0001820
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