Membership Application Form Full Name * Father's Name * Mother's Name * Spouse Name Date of Birth * Email * Mobile No * Phone No ICAI Membership Number * Date of Registration with ICAI* - If you do not know [ click here ] Name of the Organisation Status (Proprietor / Partner / Employee / Other)* Select Proprietor Partner Employee Other Office Address Building No. * Locality * Pin Code * Residential Address * Communication Address * Select Office Residential Blood Group GST No (Enter correct GSTN to get the Credit. Asociation will not be responsible for mismatch in credit due to wrong GSTN): Upload Photo * Choose file (only jpeg , jpg and png images allowed) Upload Signature * Choose file (only jpeg , jpg and png images allowed) Entrance Fees : Life Membership Fees : GST @ 18% : Convenience Fees : Total Amount I am aware that Membership to KSCAA would be given to me after scrutiny of the information provided by me. In any case the application is rejected I would be refunded the amount paid after deducting the applicable convenience fees.