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:: Membership Form - Associate Type (I)

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Company Information
Applicant Name *
(Company/Firm/Trust)
Group Name
Category Of Entity *
Address1 *
Address2 *
Pincode *
City *
State *
Country *
Phone No. *
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Fax
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Phone No.
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Fax
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Email *
Service Offered *
Proposed By
Seconded By
Area of Interest


 
 

Representative Details
 
Representative - 1
 
Representative - 2
Salutation*
Salutation *
First Name *
First Name *
Middle Name
Middle Name
Last Name *
Last Name *
Designation
Designation
Qualification
Qualification
Other Membership No.
Other Membership No.
Date Of Birth*
Date Of Birth *
Blood Group
Blood Group
Spouse's Name
Spouse's Name
Spouse's DOB
Spouse's DOB
Anniversary Date
Anniversary Date
Phone No. *
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Phone No. *
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Fax
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Fax
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Mobile No. *
-
Mobile No. *
-
Email *
Email *

Membership Fees
Membership Fees Amount Select
Entrance Fees 1000
I.T. Review Subscription (Incl. Annual Membership) 2000
Study Group Meetings (Direct Taxes) 1250
Study Circle Meetings (Direct Taxes) 600
Indirect Taxes & Other Laws Study Circle Meetings 600
Study Circle Meetings (International Tax) 1000
Series of Lecture Meetings on Self Awareness 350
Total Rs.   
Payment Mode
 
 
Bank Name *
Branch*
Cheque/Draft No. *
Date*