Membership application form for professional partners

Join ACS PPP program

Partner Name: Computer Society of Sri Lanka

Do you have an existing ACS account or have you previously started an application? *

If you have an existing account with ACS, choose "Yes", if not choose "No".

Yes

Personal Details

Title *

First Name *

Last Name *

Birthdate *

Gender *

Female Male Undisclosed

Email Address *

Note that by editing this email you are effectively updating your login credentials. Please make sure to always use your primary email when attempting to log into the system.

Confirm Email Address *

Mobile *

Work Address

Home Address

Select either Home Address or Work Address above. Complete all the details and we will save this as your preferred address.

Address *

Suburb/Town/City *

State

Postcode * (Mandatory for Australia)

Country

Select either Home Address or Work Address above. Complete all the details and we will save this as your preferred address.

Address *

Suburb/Town/City *

State

Postcode * (Mandatory for Australia)

Country

PPP Verification

We need you to provide certain details related to our employment with the partner company, in order to process your application. Please provide your position/title as per records of your company, employee id and select the referrer's name from the list.

Position / Title *

Please enter Position Tittle

Employee/Member Id *

Please enter Employee Id

Payment

We provide you with multiple options to pay your dues. Please use credit cards for hassle free transactions online.

Total payable amount

$ 65.0 AUD

Credit Card Number *

Cardholder Name *

Expiry Date *

CCV *

Total payable amount

$ 65.0 AUD

To pay by direct deposit method, our account details are as follows:

Account Name

Australian Computer Society Inc. Council Account

Bank

Commonwealth Bank of Australia

BSB

062 017

Account Number

80 1049

swift

CTBAAU2S

Branch

Corner Liverpool & Castlereagh Streets, Sydney, NSW

* Please include your surname and application number in the payment advice to identify your payment.

Proof of Evidence *

Please upload the copy of your receipt from the bank for direct deposit in pdf format. You can upload a pdf file of upto 5MB.

You can drag & drop a file from your computer into this area. Alternatively just use the Browse Files button to select a file from your computer.

BROWSE FILES

Total payable amount

$ 65.0 AUD

Terms & Conditions *

By submitting this application, you declare that all information you have provided is true and correct. And if admitted to the society, you undertake to be bound by the rules, regulations and codes Of the society, as amended from time to time.

Total payable amount

$ 65.0 AUD

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