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ALL INDIA LAW

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:

AILSA Head Office


DS 423/424, New Rajinder Nagar,
New Delhi 110060, India.
ALL INDIA LAW STUDENTS ASSOCIATION (AILSA) Individual Membership Form 2014 - 15

Each member shall be entitled to the following:


1. AILSA Annual Journal (Electronic Form),
2. Invitation to AILSA organized and partnered events,
3. Information regarding other opportunities and events for Law Students,

PLEASE WRITE ALL INFORMATION CLEARLY IN BLOCK LETTERS

Given Name :

Middle Name : Please affix photograph


here.
Surname :
DO NOT make any
Address : marks on the
photograph

City Postal Code State Country

Mobile : Residence Ph.:

Email :

Institution Name & Address :

Course : Five Year Integrated Three Year LL.B Degree LL.M

Nationality : Indian Foreign (please specify) _________

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

DS 423/424, New Rajinder Nagar, New Delhi 110060, India.


: www.lawstudents.org.in | : ailsa.india@outlook.com | : 011 2874 3284 | : 011 2874 3285
ALL INDIA LAW STUDENTS ASSOCIATION (AILSA) Individual Membership Form 2014 - 15

Please check against the respective membership applied for:

Course Enrolled Category Nationality


Indian Foreign

5 Yrs. Integrated & 3 Yrs. Degree


LL.M Annual Membership Rs. 300 Rs. 600
Life Membership Rs. 3000 Rs. 6000
Ph. D

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 :

FOR OFFICE USE ONLY

Membership No.:______________________________________________ Dated: ______________

Remarks: ______________________________________________________________________________________
______________________________________________________________________________________

Authorised Signatory

DS 423/424, New Rajinder Nagar, New Delhi 110060, India.


: www.lawstudents.org.in | : ailsa.india@outlook.com | : 011 2874 3284 | : 011 2874 3285