About us >> Application Form

If you are willing to register for membership , fill out the form and submit it online and send the payment by way of Cheque or D.D. by post. Your Registration will be confirmed on receipt of the payment.

KARNATAKA STATE CHARTERED ACCOUNTANTS ASSOCIATION (REGD) Regn. No. S. 1710/57-58 No.7/8, 2nd Floor, Shoukath Building, S.J.P.Road, Bangalore - 560 002 Phone : 2222155  Telefax : 2274679     MEMBERSHIP APPLICATION FORM To, THE SECRETARY Karnataka State Chartered Accountants Association (Regd.) No.7/8, 2nd Floor, S.J.P Road, Bangalore - 560 002. Dear Sir, I hereby apply for Life/Ordinary Membership of the Association. I agree to abide by the rules and regulations of the Association as may be in force from time to time. Full Name : :   Mr. Ms. Mrs.       Father's  Name :          Membership No. of ICAI :         Office Address :         Phone :         Fax :         Mobile :         Email :         Residential Address :         Educational qualifications :         Name of the Organisation :   Status :         Date of Birth :   Blood Group :         Name of Spouse :         I am enclosing herewith Cash/Cheque/D.D bearing No. dated drawn on for Rs. .       Yours faithfully, Date :         Place :         Proposed by : Name :   Membership No :         Seconded by : Name :   Membership No :