Student Membership Form

    Student Membership Form

    1. Name

    2. Father's Name

    3. Date of Birth

    4. Gender MaleFemaleOther

    5. Aadhaar/Voter I Card/PAN No

    6. Contact No

    7. Email Id

    8. Present Address

    9. Permanent Address

    10. State

    11. Pin

    12. Name of Institution

    13. Contact No

    14. Course

    Undertaking

    1. I hereby affirm my allegiance to the constitution of India and undertake to uphold its provision in my personal, official and public life.

    2. I hereby certify that all the information furnished with this application are true.

    3. I undertake that I will not make use of ACA(Anti-Corruption Academy) for any personal gain nor put its logo and name on my personal letterhead or any other document. In case of violation of the undertaking or any breach og conduct, ACA India will be free to terminate my Membership.

    4. I hereby confirm that I am not involved in any Corruption?Criminal cases.

    5. I Accept

    6. Signature

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