CPA Rajasthan Membership Registration Form
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Member's Name *
Father's Name *
Date of Birth of Member *
MM
/
DD
/
YYYY
WhatsApp of Member *
Email Address *
Address *
District *
PIN Code *
No. of Payers in Family *
Payment of INR 1000 for one year should be made on below QR code and 12 digit transaction id should be input in below filed.
 Payment UPI Transaction ID (12 digits)
 *
Transaction Date *
MM
/
DD
/
YYYY
Transaction Time *
Time
:
Submit
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