KERALA TAX PRACTITIONERS’ ASSOCIATION Door No.CC 67/8908(A), Choolackal Buildings, Teresa Lane, Convent Jn, Market Road, Website: www.taxpractitioners.in, Email: gs.ktpa@gmail.comAPPLICATION FOR MEMBERSHIP |
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To The General Secretary, Kerala Tax Practitioners’ Association, Kochi-11 |
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Sir, I submit the following details to consider me as a member of the Association:-
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District : | |
1. Name in full : | |
2. Gender : | |
3. Name of Father or Husband : | |
4. Date of Birth : | |
5 (1).Permanent Address : | |
Post : | |
Pin : | |
District : | |
Phone : | -
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Mobile No : | |
Email : | |
5(2) Office Address : | |
Office Post : | |
Office Pin : | |
Office District : | |
Office Phone : | - |
Office Land Mark : | |
6. Educational Qualifications : | |
7. I.T.P No.& Year : | - |
8. GSTP/STP. No.& Year : | - |
9. Name of the SGST Office in which you have maximum number of cases : |
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10. Place of Practice (Area/ Thaluk) : | |
I hereby declare that the information submitted above is true to the best of my knowledge and belief. I further undertake that I shall abide by the rules and regulations of the Association.
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Place : Date : |
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Encl :- 1. Two recent color photos 2. Fee Rs. 1600/- (Admission fee Rs.300/- and Annual Subscription Fee Rs.1300/- to be remitted through the association bank account as directed) 3. Self attested copies of ITP/STP/GSTP enrollment certificates. 4. Self Attested copy of Degree Certificate (Qualification under section 288 of the Income Tax Act and/or Rule 83 of the CGST Act) 5. Self Attested copy of Voters ID/Aadhaar etc as ID Proof |
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For Office Use
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Date of Receipt of Application by the Unit Committee : |
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Details of Fees Received : |
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Name & Signature of Unit Secretary :
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Name & Signature of District Secretary : |
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Decision of State Executive Committee/State Council : |
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Remarks : |
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Date of Approval : |
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Membership No. Allotted : |
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Unit Name : |
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Signature of General Secretary : |