Registration Form

EVENT DETAILS

Event ID	107
Event Name	46th Regional Conference (Virtual Mode)
Event Date	18-Feb-2022 To 19-Feb-2022
Event Time	10AM-5PM
CPE	12 HRS
Venue	Zoom
Description	CA. Girish Ahuja CA. Bimal Jain CA. V. Raghuraman. CA. Rakesh Gupta CA Manoj Fadnis CA. Amarjit Chopra
Group	Members - .425.00 Non Members - .425.00 Students - .425.00

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Registration Form

Category * :

Members Non Members Students

Member

Firm/Trade Name * :

Address * :

City * :

Pincode * :

State * :

Contact Number * :

Email * :

GST (Optional):

Note: Quoting of GST is mandatory, if the member wants to avail the input of the GST credit.

Note: If membership ID is not available or fetching incorrect data, please drop a mail to "bbsr.icai@gmail.com"

Member Id *

Name *

Email *

Mobile *

Gender *

Total Amount: . 0

CGST @ : . 0

SGST @ : . 0

IGST @ : . 0

Grand Total: . 0

Bank Details:

Bhubaneswar Branch of EIRC of ICAI

A/c-054122010000074

IFSC Code- UBIN0905411

UNION BANK OF INDIA

NAYAPALLY BRANCH

Mode of Payment: *

Payment date *

Payment Reference no. *

Non Member

Firm/Trade Name * :

Address * :

City * :

Pincode * :

State * : Contact Number * :

Email * :

GST (Optional):

Note: Quoting of GST is mandatory, if the member wants to avail the input of the GST credit.

Name *

Email *

Mobile *

Gender *

Total Amount: . 0

CGST @ : . 0

SGST @ : . 0

IGST @ : . 0

Grand Total: . 0

Bank Details:

Bhubaneswar Branch of EIRC of ICAI

A/c-054122010000074

IFSC Code- UBIN0905411

UNION BANK OF INDIA

NAYAPALLY BRANCH

Mode of Payment: *

Payment date *

Payment Reference no. *

Student

Student Id *

Name *

Email *

Mobile *

Gender *
Male Female

Total Amount: . 425.00

Grand Total: . 425.00

Bank Details:

Bhubaneswar Branch of EIRC of ICAI

A/c-054122010000074

IFSC Code- UBIN0905411

UNION BANK OF INDIA

NAYAPALLY BRANCH

Mode of Payment: *

Payment date *

Payment Reference no. *