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REGISTRATION
ADMISSION FORM- ANNUAL YEARLY FROM JANUARY 2012 TO DECEMBER 2012
(*) Indicates Mandatory Fields
Registration should be paid by Cheque/NEFT
Cheque should be issued in favour of 'Borivali Central CPE Study Circle'
For Membership Renewal Read FAQs

Name of the Member *
ICAI Membership No.*
Member in:*
Area of Practice / Industry*
Specialized In
Residence Address*
 
Landmark Location Pincode*
Office Address*
 
Landmark Location Pincode*
Communication Address
Contact Details
Mobile*
Email*
Date of Birth*
Residence Phone No.     
Office Phone No.     
Upload Photo
Fees Details
Fees Type*
Fees* 1900
Discount 300
Discount Till 17 Dec 2011
Amount 1900
Bank Name*
Branch*
Cheque/NEFT No.*
Cheque/NEFT Date*
Will you like to receive offers info from other organisations:
Note : Fees includes Rs. 100/- towards benevolent activities
Declaration:

I declare that I am the register member of The Institute of Chartered Accountants of India, and the membership number mentioned above is correct
Note:
NEFT Details: Account Name: "BORIVALI (CENTRAL) CPE STUDY CIRCLE" Bank & Branch Name: Vijaya Bank, Borivli (West), Mumbai. IFSC Code: VIJB0005047. Account No. 504701011000672. Account Type: Saving Account. (Kindly intimate the NEFT Details by email post transfer immediately.)
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