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 *
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.
