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ICCA Membership Application

INDIAN CHRISTIAN CAMPING ASSOCIATION (ICCA)

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Membership Application Form

Section A: Membership Classification Select your main category:

Select subcategory:

Section B: Organization/Business Details

Is your permanent address same as present address? Yes No

Authorized/Contact Person Details Organization Head/Chairman Details

Section B: OLC Student Details

Personal Details

Address Details

Is your permanent address same as present address? Yes No

Academic Details

Section B: Individual Details

Personal Details

Address Details

Is your permanent address same as present address? Yes No

Professional Details

Are you freelancing as an Outdoor Facilitator? Yes No

Section B: Student Details

Personal Details

Address Details

Is your permanent address same as present address? Yes No

Academic Details

Section B: ICCA Intern Aspirant Details

Personal Details

Address Details

Is your permanent address same as present address? Yes No

Internship Details

Are you a student? Yes No

Section C: Recommendation & Reference

Section E: Attachments

Upload your Brochure or Aims & Objectives (PDF, DOC, JPG, PNG):

Upload your ID card (JPG, PNG, PDF):

Reference Letter Attachment:

Section D: Membership Type

Section F: Terms & Conditions Select All
I have read and agree to the ICCA Statement of Faith.
I agree to abide by the ICCA Code of Conduct.
I confirm that all information provided is accurate.
I understand that membership is subject to approval and payment of applicable fees.

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