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MULUND CA CPE STUDY CIRCLE
MEMBERSHIP ENROLLMENT FORM FOR F.Y.2024-25
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Email
*
Your email
MEMBERSHIP NUMBER
*
Your answer
FULL NAME
*
In the following Order - First Name, Middle Name & Surname (Don't use prefix - Mr./Mrs./CA etc)
Your answer
MOBILE NUMBER (WhatsApp Number)
*
Your answer
Is your whatsapp number for receiving communications same as that of F.Y. 2023-24
*
Choose
Yes
No, kindly update my whatsaap communication number
COMMUNICATION ADDRESS
*
Your answer
WHETHER INTO INDUSTRY OR PRACTICE?
*
Industry
Practice
Other:
DATE OF PAYMENT
*
MM
/
DD
/
YYYY
MODE OF PAYMENT
*
(Cheque / NEFT/ IMPS Only)
Choose
Cheque
NEFT / IMPS
AMOUNT PAID
*
Rs.1000 - Membership Renewal Fees (For Existing Members)
Rs.1200 - Membership Renewal Fees (For Existing Members for payment on or after 15/05/2024))
Rs.1300 - Membership Fees with Admission Fees (For New Members)
Cheq/NEFT/IMPS Reference Number
*
Your answer
Bank Name
*
Your answer
Branch Name
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Blood Group
Your answer
A copy of your responses will be emailed to the address you provided.
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