THE SALES TAX PRACTITIONERS’ ASSOCIATION OF MAHARASHTRA
ENROLLMENT FORM FOR 41st RESIDENTIAL REFRESHER COURSE
At HOTEL RADISSON BLU - KOCHI (KERALA)
From 09th February, 2017 to 12th February, 2017
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 41st RRC to be held at
HOTEL RADISSON BLU - KOCHI (KERALA)
From 09th February, 2017 to 12th February, 2017
My relevant details are as under
· NAME ……………………………………………………………………… (Age:…….yrs.)
· ADDRESS…………………………………………………………………………………….
………………………………………………………………………………………………….
· STPAM Membership No……………………………………………………………………..
· Telephone (O)………………………………(R) ……………………………......
· E-mail: ...... Mobile......
· Please tick the appropriate travel option:-
(1) Direct Joining By Air :
(2) Joining With STPAM Group by Train 3AC
Both ways (to & fro):
(3) Joining With STPAM Group by Train 3AC
One way : Mumbai to Kochi
(4) Joining With STPAM Group by Train 3AC
One way : Kochi to Mumbai
· Whether Jain food is required Yes No
· If joining with family, please fill in following details:
(1) Name of Spouse :………………………………… (Age: ..….yrs.)
(2) Name of Child/Children: (i) …………………………(Age: ..….yrs.)
(ii) …………………………(Age: ..….yrs.) (ii) ………………………(Age: ..….yrs.)
· My preference of Room Partner (in case of not accompanied by a family member)
………………………………………………………………………………………..
Signature
DELEGATE FEES WITH DIFFERENT JOINING OPTIONS FOR MEMBERS AND NON-MEMBERS:
Sr.No / Particulars / Delegate fees / No.of persons / Total Amount payable
1 / DIRECT JOINING FOR MEMBERS
Delegates Fees if paid on or before 05/10/2016 / Rs.14,500/-
Delegates Fees if paid after 05/10/2016 / Rs.16,500/-
Child From 5 to 11 Years With Extra Bed / Rs. 8,400/-
2 / JOINING WITH STPAM GROUP BY TRAIN 3AC
ONE WAY : KOCHI TO MUMBAI OR MUMBAI TO KOCHI FOR MEMBERS
Delegates Fees if paid on or before 05/10/2016 / Rs.17,200/-
Child From 5 to 11 Years With Extra Bed
(if paid on or before 05/10/2016) / Rs. 11,090/-
3 / JOINING WITH STPAM GROUP BY TRAIN 3AC BOTH WAYS (TO & FRO) FOR MEMBERS INCLUSIVE OF BREAKFAST/LUNCH/DINNER AND PICK UP AND DROP TO & FRO ERNAKULAM STATION.
Delegates Fees on or before 05/10/2016 / Rs.19,900/-
Child From 5 to 11 Years With Extra Bed
(if paid on or before 05/10/2016) / Rs.13,780/-
4 / DELEGATE FEES FOR NON MEMBERS
Delegates Fees Direct Joining / Rs.17,000/-
Delegates Fees with 3AC Train With STPAM Group Both ways (to & fro) / Rs.22,500/-
Note :- Above delegate fees includes Service Tax @ 15%.
Member means member of Sales Tax Practitioner’s Association of Maharashtra 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.
3. Please attach valid address photo ID proof along with the form. (Aadhar Card / Driving License / Voter ID etc)
4. Please expedite the enrollment as available rooms in Hotel are limited.
5. Booking for RRC will be accepted and confirmed only on payment of full delegate fees.