Name :


First Name
Middle Name
Last Name


Date of Birth
Nationality
Education


Area of Work
Organisation
Job Title


Address
City
State


Zip Code
Work Phone
Mobile


Email Address


___________________________________________________________________________________________________________________________________


Are you a member of ACM?
Membership No
(if applicable)



Are you a member of any Special Interest Group (SIG) of ACM?
Name the SIGs
(if applicable)



___________________________________________________________________________________________________________________________________


Membership Type







   If your Organisation is sponsoring your membership. Enter Corporate Membership #

*First 50 members , **First 100 members , ***Contact Chapter for more details, ****Submit supporting documents

Notes:
1) Cheque / DD should be in favour of 'ACM Bangalore Chapter', payable at Bangalore.
2) Membership fees are subject to review from time to time.
3) On the BACK SIDE of the Cheque / Demand Draft the following details are to be written -
Membership Number (in case of old Members), Name of the Member, Address, Contact number.
4) Membership is valid for one year from the date of registration to the chapter.
5)25% off from ACM Compute conference fee of Rs 3000/- (inclusive of all tutorials)
6) Videos, Power point presentations, Papers in digitised format of all ACM Bangalore events for free.
7) Automatic reminders of all ACMB and partner events and free entry into all ACM Bangalore talks and workshops.
8) ACM Bangalore membership card.
9) Access to any discounts secured by the ACM Bangalore Chapter for any co-hosted events with partner organisations such as CSI, IEEE, HeadStart Foundation, etc
10) Ability to vote in ACM Bangalore elections and get nominated for ACM Bangalore official elections.


___________________________________________________________________________________________________________________________________


Please answer the following questions so that we can better address your needs:


Are you a member of IEEE?
IEEE Membership # (if applicable)


Technical Interests
Artificial Intelligence
Animation & Special Effects
Computational Theory
Communication Networks
Human-Computer Interaction
Operating Systems
Object Oriented Technology
Online Transaction Systems
Standards

Computer Graphics
Computer Security
Computer Systems Administration
Data Encryption
Pattern Recognition
Realtime Systems
Rapid Prototyping
Software Engineering
Telecommunications
Database Management Systems
Ethical and Legal Issues
Hardware Design
Neural Networks
Software Metrics
Software Programming
Software Project Management
Scientific Computing

Others


Other Professional Memberships


Would you be interested in paricipating in any of these committees? Program Membership Technical Publicity


Are you interested in assisting with the newsletter? Yes No


Are you interested in assisting the website creation/maintainance? Yes No


Are you willing to be the contact for your company? Yes No

If yes, name the company :

___________________________________________________________________________________________________________________________________


Professional Member Qualifications

You must satisfy one of the qualifications below:
- Bachelor's Degree in any subject area (even if yet to complete) OR
- Equivalent Level Education OR
- One year full-time employment in IT.

Purpose of ACM
- Advancing the art, science, engineering, and application of information technology
- Fostering the open interchange of information to serve both professionals and the public; and
- Promoting the highest professional and ethical standards.