THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
13th NATIONAL CONVENTION OF CA STUDENTS, KOLKATA
REGISTRATION FORM
________________________
The Chairman, FOR OFFICE USE
Eastern India Regional Council, Delegate No.___________
Institute of Chartered Accountants of India, Amount (Rs.)___________
7, Anandilal Poddar Sarani(Russell Street), Receipt No. ___________
Kolkata-700071 Date _____________
(Ph: 033-3989-3989) ______________________
Dear Sir,
Please register me as a delegate for the 13th National Convention of CA Students,2009 to
be held at Centenary Hall, College Street Campus, Calcutta University, Kolkata – 700
073 on 29th & 30th August, 2009 at 9 AM
Name (Block Letters): __________________________________________________
Name and Address: __________________________________________________
of the Firm __________________________________________________
Residential Address: __________________________________________________
__________________________________________________
Registration Number____________________________________________________
Telephone/Mobile Number, if any _________________________________________
E-mail address __________________________________________________
Accommodation charges: Rs.150 per day over & above delegate fees of Rs.400 (till
8/8/2009) or Rs.450 thereafter -
( Consolidated fee payable by outstation delegates for registration & stay arrangement)
(Put tick mark)
Required for 2 days 3 days 4 days
Rate till 08/08/2009 Rs. 700.00 Rs. 850.00 Rs. 1000.00
Rate after 08/08/2009 Rs. 750.00 Rs. 900.00 Rs. 1050.00
Mention the dates on which booking is needed: ________________________________
I am sending herewith my registration fee of Rs. 400 / 450 / 700 / 750 /
850/900/1000/1050 in Cash / Demand Draft (No.__________________ and dated
_________________drawn on ____________) in favour of ‘The Institute of
Chartered Accountants of India, EIRC’ payable at Kolkata.
Yours faithfully,
Date: Signature
Note: 1) Duly completed form with remittance be submitted/sent at the above address
from 22.06.2009 during Monday to Friday and the receipt be collected on
submission of this form which should be produced at the venue on the day of the
programme on demand. (2) Delegate Fee: Rs.400 till 8/8/2009 & Rs. 450 thereafter
CAclubindia
