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Chartered Accountant/Income Tax Practitioner Registration
Your Name, Qualification, Specialization, Contact Details and Availability Times etc., will be displayed in "Services-> CA / IT PRACTITIONERS In My Area" by default. In case, you do not wish to display the same BUT requires only personal protection under Citizen Category, please UNCHECK the box here.
*PIN CODE	:
YOU CAN EDIT FROM TIME TO TIME THE INFORMATION PROVIDED HERE IN CERTAIN FIELDS AT ANY TIME THROUGH "LOGIN"
Contact / Office / Residence Address	:	Residence Office Residence-Cum-Office
*Pincode	:
State	:
District	:
Mandal / Taluk	:
Post Office Name	:
*PIN CODE	:
<%----%> Pincode* : State : <%----%> District : <%----%> Mandal / Taluk* : Mandal / Taluk* : Post Office Name* :
City / Town / Village	:
Land Mark To Reach You Easily	:
Locality / Area	:
Street Name	:
Ward / Division Number	:
House Number	:
Appartment Name & Number	:
Salutation*	:
Gender	:
Name*	:
Regd. No.	:
Date of Registration	:	(DD-MM-YYYY)
Qualification	:
Specialization	:
No.of Years in Practice	:
Regularly Attending	:	Supreme Court High Court District Court Sub-Ordinate Court Magistrate Court
Place of Court	:
Contact Address	:
Land Mark	:
Contact Number [In case client want to contact you]	:	Land line:  -   Mobile: +91-
Email address	:
Confirm Email address	:	<%----%>
Availability	:	Days Timings(Eg: 24 Hours, 9AM-12NOON, 4PM-9PM ETC...)
*Your Personal Mobile number (This will be your Login ID and to receive/retrieve forgot password)	:	+91-(Password will be sent to this mobile)
*Conform Mobile number	:	+91-
Do you wish to a Primary Volunteer?	:	Yes No
Do you wish to disclose Your Identity as a Primary Volunteer?	:	Yes No
BLOOD GROUP*	:
Emergency Contact Details: [In case you are in emergency, to whom we shall inform?]	:	<%----%> Contact Person : RelationShip : Phone No : Contact Person : RelationShip To : Phone No :
Your Physical Status	:
Upload Photo	:
Are you interested in BLOOD DONATION in case of emergency to anyone? [Please consider to say YES: Humanity is Godliness]	:
Privacy statement:	:
Date & Time	:
Security Code	:
Enter Security Code*	:
Form Filled By*	:
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