1. No category

DELEGATE REGISTRATION FORM
To
The ICSI – Bangalore Chapter
Receipt.
“Sheriff Chambers”, III Floor,
No.
Rear Block, 14, Cunningham Road
Office Use
Bangalore – 560 052
Date
Delegate
No.
Dear Sir
Please register me the for the Full Day Seminar on "“GST, Service Tax, Sales Tax” & Valedictory
of CBP in ST being organized by The ICSI– Bangalore Chapter to be held on Saturday , the 29 th
November, 2014 at
Bangalore Chapter NEW PREMISES, No. 5, 1 st Main Road, Rajajinagar
Industrial Estate, West of Chord Road, Rajajinagar, Bangalore.
Name: ( in block letters) : _____________________________________________________________
Designation : _________________________________________________________________________
Name of the organization, Designation & Address: ________________________________________
_____________________________________________________________________________________
E-mail: _______________________________________________________________________________
ACS/FCS No.__________________________________ CP No.________________________________
Phones : (Off) ____________________ (Res) ___________________ Mobile: ____________________
I am/we are enclosing herewith a Cash OR Cheque/DD/ Transaction ID No._____________
dated __________ for Rs.__________ drawn on ____________________________ bank in f avour of
“BANGALORE CHAPTER OF SIRC OF THE ICSI”, payable at Bangalore.
Date : _______________
Signature