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Cyber Security Association of India Individual Membership Form
Individual Category
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* Indicates required question
Name in Block Letters
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Your answer
Father’s Name/ Husband’s Name
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Your answer
Address for correspondence:
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Your answer
Academic & Professional Qualifications
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Your answer
Professional Experience
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Your answer
Present Occupation /Designation
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Your answer
Primary Field of Interest (please suggest any 3)
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Your answer
Contact number / Mobile Phone
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Your answer
Email Id
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Your answer
Payment of Individual Membership to be made Via
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Online mode
IMPS/RTGS Transfer
Cheque/Demand Draft
Request first please submit the form below then same payment link will be displayed for online payment along with other options -
Payment of Individual Membership i.e Rs 5,000 plus 18% GST to be paid i.e Rs 5,900 (Five Thousand Nine Hundred Only)
For Online payment please visit
https://rzp.io/i/hXRyeyS0s
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