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BARODA BRANCH OF WIRC OF ICAI

MEMBERS' DIRECTORY - 2016

MEMBER'S DATA FORM


*Membership Number
:
 
*Set Password
:
*Surname
:
*Firstname
:
Middlename
:
*Gender
:
*Whether In-Practicing/ Not In-Practice
:
Name of Firm / Employer
:
*Office Address
:
 
 
 
 
City
:
*Pin Code
:
*Residence Address
:

 
 
 
 
City
:
Pin Code
:
*Communication Address
:
 
Telephone No. (O)
:
- (e.g. 0265-2123456)
 
 
(e.g. 0265-2123456)
(R)
:
- (e.g. 0265-2123456)
*Mobile No (1)
:
(e.g. 9898989898)
(2)
:
*Email ID (Official)
:

(e.g. example@xyz.com)
Email ID (Personal)
:

(e.g. example@xyz.com)
Website
:
*Birth Date
:
*Blood Group
:
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