Membership Form of J. B. Nagar CPE Study Circle of WIRC of ICAI - FY 2024-25
1. Please fill up the google form and pay the membership fees through bank account transfer/ NEFT / Cheque only.
2. Bank Details for NEFT :
Kotak Mahindra Bank , Andheri East Branch, Current Account No. 4548123832, IFSC Code - KKBK0000651
Account Name - J B Nagar CPE Study Circle of WIRC of ICAI
3. Contact Details - 9820240246                        Email Id - jbnagarcpe@gmail.com
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Name of the Member *
ICAI Membership Number
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Year of Qualification
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Occupation
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Core Area of Practice/Service
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Name of the Firm/ Company
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Designation
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Address for Correspondence
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Mobile Number
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Telephone
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Email ID
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Date of Birth
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MM
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DD
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YYYY
GST Number (Personal)
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choose any option - Study group membership is only for Study Circle Members (all are inclusive GST)
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Required
Members Registered with ICAI after 01.04.2023 (Fees including GST)
Contribution to CABF (Voluntary Contribution) Rs 100/-
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Mode of Payment (Cash / UPI (Gpay / BHIM etc)  not accepted)
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Date of Payment
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MM
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DD
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YYYY
Bank Name
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Details of Fee Payment (Cheque No./ Payment UTR No.)
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Amount Paid
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Would you like to contribute to the following activities of Study Circle?
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Required
I agree to be in your mailing list
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