I. Institution/Organization details

Institution/Organization Name :

Institution/Organization type : --Institution/Organization Type-- Public Private Incorporation Partnership Firm Proprietorship Others

State : Select state Andaman and Nicobar Island Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal

District/City :

Institution/Organization address :

Official Phone number :

Official Email :

Fax Number :

Website :

II .Authorized person to contact/Communicate

Name :

Job Title/Designation :

Mobile Number :

Email :

Membership Details

Institutional Member - Membership Fee (Per Year): INR 30,000 /- (Thirty Thousand) + Taxes Applicable.

Note : Membership fee is revised as per the instructions from Board of Membership Accreditation. Revised fee is applicable from Jan 02,2019

Terms & Conditions

• 1. Your nomination for NCSSS Membership is non-transferable.
• 2. NCSSS reserves the right, at its sole discretion, to change the terms and conditions at any time.
• 3. No refund or transfer of nomination fee on cancellation.

Renewal Process

Renewal Fee (Per Year) : INR 20,000 /- (Twenty Thousand) + Taxes Applicable.

I hereby declare that the above furnished information is true to my knowledge and belief. I also agree to abide by the terms, conditions and decisions of the National Cyber Safety and Security Standards (NCSSS).

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