COMBINED ENROLMENT FORM

Payment accepted from :

Timings  : 11 a.m. to 1 p.m. & 2 p.m. to 4 p.m.

Days  : Monday to Friday

Note : 1. Outstation payment by Demand Draft only, payable in Mumbai 2. Cheque/Draft should be drawn in favour of Bombay Chartered Accountants' Society 3. Payments are accepted between 11.00 a.m. to 1.00 p.m. and 2.00 p.m. to 4.00 p.m. on week days only(Not on Saturday) 4. Back copies will be supplied if available.

* Indicates Compulsory Fields
Enrolment Details
Name :	* First Name * Middle Name * Last Name
Firm Name :
* Address :
Email:	Mobile No :
Tel (O):	Tel (R): Fax:
BCAS Membership No.	OR
Students Regn. no with ICAI :
Name and Address of Principal:
Food:	Jain :        Non-Jain :
Study Courses  Study Group on International Economics  9-2-2012  Rs. 1,000  Seminar  Half-day Seminar on Survey, Search & Seizure – Practical Aspects  11-02-2012  Rs. 1,000 for members, Rs. 1,250 for non-members  Programme  Workshop  Two-day Orientation Workshop specially designed for Articled Students  24-2-2012  Rs. 1,000 for students

Cash/Draft/Cheque amount of   Rs.   Draft / Cheque No.   drawn on Bank,  dated is enclosed.