Title Select CA Mr Ms Dr

First Name *

Last Name

Date of Birth

Father’s Name

Spouse’s Name

Blood Group Select A+ A- B+ B- AB+ AB- O+ O-

Gender Select Male Female Other

Mobile Number This is how you sign in to the KSCAA app.

Email A mobile number or an email address is needed — ideally both.

Landline Include the STD code, e.g. 080 2345 6789.

Address Line 1

Address Line 2

Address Line 3

City

Pincode

Name of Organisation

Role Select Proprietor Partner Employee Other

In Practice / Industry Select In Practice In Industry

GST No.

Areas of Expertise Audit & Assurance Direct Taxation Indirect Taxation (GST) Corporate Law Consulting & Advisory Forensic Accounting Insolvency & Bankruptcy International Taxation Valuation Banking & Insurance Information Systems Audit Tick everything that applies. Leave them all clear if none do.