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/ Organisation
  13. Work Address & Contact Number
  14. Contact No
  15. Course/Year(for Students)
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

    (First 5000 students will get Lifetime Membership of ACA free, after their academics)


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