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STUDENTS
ASSOCIATION
INDIVIDUAL
MEMBERSHIP FORM
Please send a scanned copy of duly filled form, photograph and DD/PO to ailsa.india@outlook.com to expedite the
formalities.
To register as an AILSA Individual Member please submit the Registration Form and Membership Dues via courier
or in person to:
Given Name :
Email :
Signature
Documents to be attached:
1. Xerox of Student ID Card or Bonafide Certificate as issued by the institution.
2. DD/Pay Order for the respective amount.
3. 2 Passport size Colour Photographs
Each student shall be sent AILSA Membership ID card and Certificate on email in electronic form.
Those desirous to receive the same in print form and laminated, individual is required to pay an
additional amount of Rs. 200 (inclusive of postage) to the association.
Membership may be remitted by Bank Transfer to: State Bank of India, New Rajinder Nagar Branch, New Delhi.
Bank Account No. : 32025231681 IFSC Code : SBIN0001278
MICR No. : 110002089 Swift Code : SBININBB550
Alternatively send us a Cheque/Demand Draft in favour of All India Law Students Association payable at New Delhi.
Cheque/ DD No. : Dated : / / Amount :
Bank : Bank Branch :
Remarks: ______________________________________________________________________________________
______________________________________________________________________________________
Authorised Signatory