Baroda Branch of WIRC of ICAI

Members’ Directory

Data Form

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*Surname :
*Firstname :
Middle name :
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*Pin Code :
*Residence Address :
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*Communication Address :  
Telephone No. : (*O) - (e.g. 0265-2123456)
  (R) - (e.g. 0265-2123456)
FAX No. :
*Mobile No : (e.g. 9898989898)
*Email ID :
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Alternate Tele No. : - (e.g. 0265-2123456)
Mobile No :   (e.g. 9898989898)
Email ID :
(e.g. example@xyz.com)
*Date of Birth :
*Blood Group :
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