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Digital Security Association of India (DiSAI) - Application for Membership
(Application form seeking membership in Digital Security Association of India (DiSA). Please read the rules and guidelines in the link http://www.disai.in/p/membership-guidelines.html
Email address *
Category of Membership (Please tick the appropriate) *
Name (CAPITAL LETTERS) - Individual name or Name of the organisation *
Your answer
Contact address *
Your answer
Mobile Number 1 *
Your answer
Mobile Number 2
Your answer
Land line number, if any with STD code
Your answer
E Mail id *
Your answer
Website / Blog URL, if any
Your answer
Facebook URL, if any
Your answer
Twitter handle, if any
Your answer
For individual members only - Please mention your profession or where employed (details)
Your answer
For Institutional Members - Please mention your nature of business
Your answer
For Students - Please mention the Name of the College / University, course and year of study, etc.
Your answer
What do you expect from DiSAI? How can you help DiSAI to achieve its goals? *
Your answer
I / We have read the rules and regulations of DiSAI and will abide by them and am/are aware that membership is at the sole discretion of the DiSAI Trust and its management. *
Please write your name as signature in token of your agreeing the rules and regulations of DiSAI. *
Your answer
A copy of your responses will be emailed to the address you provided.
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