Kerala Tax Practitioners' Association
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Application for KTPA Family Welfare Scheme
Personal Details
Name of Member
Father Name
Gender
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Male
Female
Date of Birth
KTPA ID
District
Select District
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Ernakulam
Thrissur
Palakkad
Malappuram
Kozhikode
Wayanad
Kannur
Kasaragod
Unit
Select Unit
Mobile Number
Email Address
Profile Photo
Residential Address Details
Residential Address
Post
PIN
Residential District
Select District
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Ernakulam
Thrissur
Palakkad
Malappuram
Kozhikode
Wayanad
Kannur
Kasaragod
Office Address Details
Office Address
Post
PIN
Office District
Select District
Thiruvananthapuram
Kollam
Pathanamthitta
Alappuzha
Kottayam
Idukki
Ernakulam
Thrissur
Palakkad
Malappuram
Kozhikode
Wayanad
Kannur
Kasaragod
Nominee Details
Nominee Name
Address
Relationship
Documents Upload
Proof of Age
KTPA Membership Certificate
Payment Amount:-
Select
Lumpsum Rs.5000/-
First Instalment Rs.2500/-
Payment Details
Date of Payment
Enclosures
Required Enclosures
Self Attested copy of the KTPA Membership Certificate
Proof of Date of Birth (SSLC Certificate/Driving Licence/PAN/Passport)
Admission Fee Rs.5000/- [One time payment]
Admission Fee Rs.2500/- [First Instalment]
Declaration
I hereby declare that, the information submitted above is true to the best of my knowledge and belief and further undertake that I shall abide by the Rules and regulations of the KTPA Family Welfare Scheme.123
1. That the information submitted above is true to the best of my knowledge and belief.
2. That I have carefully read, understand and accepted the Bye-Laws, Rules, and Regulations of the KTPA Family Welfare Scheme and also aware that I will get associate membership under clause III 3(a).
3. That I agree to abide by and comply with all provisions, amendments, and decisions duly made and approved by the Association from time to time.
4. That I undertake to pay all contributions, subscriptions, and other dues to the Welfare Scheme promptly and regularly, as prescribed by the Association.
5. That I or my family shall not claim or demand any benefit, advantage, or privilege beyond those specifically declared, approved, and communicated by the Association.
6. That I fully understand that failure to comply with the Bye-Laws, Rules, or Regulations of the Association may result in suspension or cancellation of my membership and forfeiture of any benefits under the Welfare Scheme I make this declaration in good faith and with full knowledge of its contents.
I Agree to the Declaration.
I Agree to the Declaration.
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