| Email: president@acdwa.org Call Us: +91-933 532 5033
Email: president@acdwa.org Call Us: +91-933 532 5033

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Allahabad Computer Dealers Welfare Association

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Membership Form

Year of Establishment :
Name of the Firm :
Address :
Prop./Partner(s)/Director(s) Name :
Blood Group :
Gender :
Date of Birth :
Marriage Anniversary :
Email :
Mobile No. :
GST No. :
Nature of Business :
Payment Detail's :
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Account Details

Bank Name : XXXXXX XXXXXX

Branch Name : XXXXXX XXXXXX

A/C Holder Name : XXXXXX XXXXXX

A/C Number : XXXXXX XXXXXX

IFSC Code : XXXXXX XXXXXX

PAYMENT INFORMATION

Transactions Date:
Account Number :
A/c Holder's Name *
Bank Name :
Reference / Transaction Id

I/We hereby agree to abide by the norms and conditions as laid down by the association from time to time. All the above information provided is true to the best of my/our knowledge.

**Fee for new Members is Rs. 3500/- Fee for members who are continuing is Rs. 2500/- please pay by cheque/D.D./Cash in favour of Allahabad Computers Dealers Welfare Association, Prayagraj (ALLAHABAD)

***Your candidature must be approved by any Two existing Members.