Beruflich Dokumente
Kultur Dokumente
ASSOCIATION OF MAHARASHTRA
8 & 9, Mazgaon Tower, 21, Mhatar Pakhadi Road, Mazgaon, Mumbai 400 010.
Phone: Office: 2375 2267 / 68 • Fax : 2378 0483
Mazgaon Library: 2373 71 53 Fax: 2378 04 83
For office use only
Receipt No. Date Membership No.
Date Signature
MY PERSONAL DETAILS
i. Full Name: (Block Letters)
Fax. Nos.
STD Code
Modem No.
STD Code
Residence
STD Code
1
Mobile No.:
Pager No.:
E-Mail Address:
Website/Home Page Address:
– –
v. Birth Date:
D D – M M – Y Y Y Y
MY EDUCATION QUALIFICATIONS
i. Graduate level:
Remark:
(Please specify if you have got distinction or any other merit which you would like to highlight)
Any other
(Please specify)
ii. Please specify in brief, your professional achievement which you would like to inform:
iii. Apart from Sales Tax, I also practice in the following areas:
2
iv. Before starting my practice I have got following experience in the field of
Sales Tax:
STATUS OF MY MEMBERSHIP
Individual Membership Firm Membership
In case of Firm Membership, the following person is nominated to represent firm in terms of
Article 7(5) of the Constitution
MY OTHER DETAILS
i. Marriage Date – –
ii. Name of the Spouse:
Qualification of the Spouse:
Any other
(Please specify)
3
DETAILS OF PAYMENT
Enclosed herewith please find a Cheque/DD. Cash of Rs. _________ (Rupees______________
_________________________________) vide Ch. No _________ dated___________, drawn on
_________________________________ Bank, ________________ Branch, for the following:
Membership Fee Rs.
Admission Fee Rs.
One time Fee Rs.
Total Rs.
Notes: 1. Cheque/Draft should be drawn in favour of “The Sales Tax Practitioners’
Association of Maharashtra.”
2. Outstation payment only by Demand Draft payable at Mumbai.
I AM INTRODUCED BY