Bhuj ICAI : Registration

"य एषु सुप्तेषु जागर्ति:"

"a person who is awake in those that sleep"

Registration

Passport size photo :*

Name of the Member:*

Membership Number:*

Date of Birth :*

Email*

Password:

Mobile No.*

Whether ACA/FCA:

Interested as Speaker

Yes No

Details of topics:

Interest in Sport

Yes No

Name of Sports:

Detail of Interest in Any other activity:

Date :*

Place :*

Signature and Name of the member :*