ENROLMENT FORM
38TH RESIDENTIAL REFRESHER COURSE
ORGANISED BY
THE SALES TAX PRACTITIONERS’ ASSOCIATION OF MAHARASHTRA
at
HOTEL ROYAL ORCHID
From 9th February, 2014 to 12th February, 2014
To,
The Convenor
Residential Refresher Course Committee
The Sales Tax Practitioners’ Association of Maharashtra
8 & 9, Mazgaon Tower,
21, Mhatar Pakhadi Road,
Mazgaon,
Mumbai-400 010
Dear Sir,
Please enroll me /us as the delegate (s) for the 38th RRC to be held at
HOTEL ROYAL ORCHID, JAIPUR
From 9th February, 2014 to 12th February, 2014
My relevant details are as under
NAME …………………………………………………………………(Age:…….yrs.)
ADDRESS……………………………………………………………………………….
…………………………………………………………………………………………
STPAM Membership No………………………………………………………………
Telephone (O)………………………………(R) ……………………………......
Fax: (O)……………………………………..(R)......
E-mail: ...... Mobile......
Direct Joining: Yes No
Whether Jain food is required Yes No
Whether Non Veg food is required Yes No
If joining with family, please fill in following details:
Name of Spouse :………………………………… (Age: ..….yrs.) (Veg/Non Veg/ Jain)
Name of Child/Children: …………………………(Age: ..….yrs.) (Veg/Non Veg/ Jain)
…………………………………………………….(Age: ..….yrs.) (Veg/Non Veg/ Jain)
My preference of Room Partner (in case of not accompanied by a family member)
1. ………………………………………………………………………………………..
2. ………………………………………………………………………………………..
Signature
Enrolment Fee per person
Sr.No / Amount / No.of persons / Total Amount payable
1 / Cost of RRC inclusion of Train Fare –
Per Member / Rs. 15,500/-
2 / Cost of RRC inclusion of Train Fare –
Per Child ( 6 to 12 yrs) / Rs. 12,000/-
3 / Direct Joining – Per Member / Rs. 12,300/-
4 / Direct Joining – Per Child ( 6 to 12 years) – Member / Rs. 8,800/-
5 / Cost of RRC inclusion of Train Fare –
Per Non-Member / Rs. 16,250/-
6 / Cost of RRC inclusion of Train Fare –
Per Child ( 6 to 12 yrs) (Non-Member) / Rs. 12,750/-
7 / Direct Joining – Per Non- Member / Rs. 13,050/-
8 / Direct Joining – Per Child ( 6 to 12 years) (Non-Member) / Rs. 9,550/-
Note :- Above delegate fees includes Service Tax @ 12.36%. Member means member of our Association along with his/her Spouse and Children only.
Cheque/ D.D. No……………Bank………………………………………….Branch……………… Dated……………………
Note: 1. Please tick/fill in the appropriate boxes
2. Outstation members are requested to make the payment only by D.D. drawn in favour of “The Sales Tax Practitioners’ Association of Maharashtra”, payable at Mumbai.