THE CHARTERED ACCOUNTS BENEVOLENT FUND
C/O. THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
I.P. MARG P.O. BOX NO. 7100, NEW DELHI - 110 002.
(APPLICATION FORM FOR LIFE MEMBERSHIP OF THE FUND)
NO. (LM )
Dear Sir,
I hereby apply for admission as a Subscriber Member of the Chartered Accountants Benevolent Fund. I am remitting with Rs. 2500/- towards any subscription as Life Member. This amount of Rs. 2500/- shall form of the corpus of the fund. I have read the Rules & Regulations of the fund and I agree to abide by them, and also by the Rules that may be made hereafter. I give below the necessary particulars.
1. | Full Name | : | ---------------------------------------------- |
2. | Address | : | ---------------------------------------------- ---------------------------------------------- ---------------------------------------------- |
3. | a) Membership No. | : | ---------------------------------------------- |
b) Date of Enrolment | : | ---------------------------------------------- | |
c) Whether Fellow or Associate | : | ---------------------------------------------- | |
d) Address for communication | : | ---------------------------------------------- | |
4. | Name of dependents and relations | : | ---------------------------------------------- |
Name | Age | Relation |
1 2 3 4 5 6 |
Life Membership Fee Rs. 2500/-
Yours faithfully,
(SIGNATURE OF THE MEMBER)
PLACE :
DATE :