The Goods & Services Tax Practitioners Association of Maharashtra 8 & 9, Mazgaon Tower, 21, Mhatar Pakhadi Road, Mazgaon, Mumbai - 400 010 Tel.:23752267/68 1st Floor, 104, GST Bhavan, Mazgaon, Mumbai 400 010. Tel.: 2373 7153 Suburban GST Bhavan, Ground Floor, A Wing, Bandra-Kurla Complex, Bandra (E), Mumbai 400 051 Email: stpam2@gmail.com, Website: www.gstpam.org For office use only Receipt No. Date Membership No. Accepted by the Managing Committee in the Meeting held on Date Signature APPLICATION FOR MEMBERSHIP To The Hon. Joint Secretaries, The Goods and Services Tax Practitioners Association of Maharashtra, 8 & 9, Mazgaon Tower, 21, Mhatar Pakhadi Road, Mazgaon, Mumbai - 400 010 Please affix your recent Passport size Photograph Dear Sirs, Date: Being Eligible to practice under Indirect Taxes such as Goods & Services Tax, Sales Tax & Allied Laws, I/We hereby apply for admission as a member of the Goods & Services Tax Practitioners Association of Maharashtra with the following particulars: i. Full Name: (Block Letters) MY PERSONAL DETAILS ii. PAN GSTIN iii. Office Address: City : Pincode: Residence Address: City : Pincode: v. Communication Nos. Office: Tel. Nos. Fax Nos. Residence
Mobile No. : E-mail Address : Website/Home Page Address : Please Communicate at my Office Residence [Please 3 mark appropriate Box(es)] vi. Birth Date : - - D D - M M - Y Y Y Y vii. Age: Years Sex: Male Female i. Graduate level : MY EDUCATIONAL QUALIFICATIONS B.Com. B.Sc. B.A. Any other (Please Specify) Remark: (Please specify if you have got distinction or any other merit which you would like to highlight) Year of passing the above examination(s): ii. Professional Level: Advocate C.A. S.T.P. I.C.W.A. Company Secretary GSTP Any other Membership/Roll/Enrollment No. issued by the respective Institutes/Authorities: Remark: (Please specify any merit you would like to highlight) Year of Qualification: (Please enclose copies of passing of examinations and Professional Qualification as mentioned above) i. Date of starting practice DETAILS ABOUT MY PRACTICE ii. Please specify in brief, your professional achievement which you would like to inform: iii. Apart from GST & Sales Tax, I also practice in the following areas: Auditing Income Tax Excise Service Tax Any other Before starting my practice I have got following experience in the field of Sales Tax & Goods & Services Tax Act: TYPE OF MEMBERSHIP I WOULD LIKE TO APPLY Donor Member Patron Member Life Member Local Ordinary Member Outstation Ordinary Member
Individual Membership STATUS OF MY MEMBERSHIP Firm Membership In case of Firm Membership, the following person is nominated to represent firm in terms of Article 7(5) of the Constitution MY OTHER DETAILS i. Marriage Date : ii. Name of the Spouse: Qualification of the Spouse: iii. My Blood Group A B AB O Rh+ve Rh ve I am also a member in the following Associations: A. Professional Associations: Place Post holding B. Social Organisations: Place Post holding v. My hobbies/area of interests are as under: Reading Music Photography Computer Writing Painting Travelling Internet Any other Please explain in details about the above hobbies: Enclosed herewith please find a Cheque/DD. Cash of ` (Rupees ) vide Ch. No dated, drawn on Bank, Branch, for the following: Particulars Membership Fee incl. GST @ 18% Admission Fee incl. GST @ 18% Subscription Charges for STR Grand Total DETAILS OF PAYMENT Amount (Please refer Membership Fees table below) Notes: 1. Cheque/Draft should be drawn in favour of The Sales Tax Practitioners Association of Maharashtra. 2. Outstation Members may pay by Demand Draft, Cheque payable at Par, Cash, NEFT, Online Payment I AM INTRODUCED BY Address (Name of the introducing GSTPAM member) Type of Membership: Remark by introducing member (if any): Membership No. of GSTPAM: Signature of the introducing member
VERIFICATION BY THE APPLICANT I, do hereby declare that whatever stated hereinabove is true to the best of my knowledge and belief. I also undertake to abide by the Rules, Regulations and Constitution of the Association, as amended from time-to-time. Thanking you, Yours faithfully, Encl. 1. Cash/Cheque/Draft/RTGS/Online Transfer UTR. Note : 2. Copies of educational qualifications. 3. Copy of Partnership deed/llp Agreement (In case of Partnership Firms/LLP) Name and signature of the applicant Right of admission of membership is at the sole discretion of the Managing Committee. MEMBERSHIP FEES AND SUBSCRIPTIONS FOR PUBLICATIONSOF THE GOODS & SERVICES TAX PRACTITIONERS ASSOCIATION OF MAHARASHTRA Type of Membership Membership Fees including GST Admission Fees Including GST Subscription Charges for Sales Tax Review New Membership Application Donor Member 24,780.00 600.00 25,380.00 Patron Member 17,700.00 600.00 18,300.00 Life Member 11,800.00 944.00 600.00 13,344.00 Life Member (Conversion from Ordinary 11,800.00 590.00 600.00 12,990.00 Ordinary Local Member 1,770.00 590.00 2,360.00 Ordinary Outstation Member 1,475.00 590.00 2,065.00 New Membership Application (Firm/LLP) Ordinary Local Member 1,770.00 944.00 0 2,714.00 Ordinary Outstation Member 1,475.00 944.00 0 2,419.00 Patron Member 17,700.00 0 600.00 18,300.00 Donor Member 24,780.00 0 600.00 25,380.00 Advance Membership/subscription charges for subsequent two years (Non-Refundable) Ordinary Local Member 3,186.00 - - 3,186.00 Ordinary Outstation Member 2,655.00 - - 2,655.00 Life Member (Individual/Firm/LLP) 0-1,200.00 1,200.00 Patron Member 0-1,200.00 1,200.00 Donor Member 0-1,200.00 1,200.00 Subscription for Sales Tax Review for F.Y. 2018-19 by Non-Members Subscription fees for STR 1,000.00 1,000.00 Advance subscription charges for Sales Tax Review by non members for subsequent two years (Non-Refundable) Subscription Fees for Sales Tax Review 0-2,000.00 2,000.00 Total Notes:- 1. Membership Fees are inclusive of GST. 2. The Subscription Charges are payable by only those life members, who wish to subscribe to the Sales Tax Review. 3. No subscription charges are payable by Ordinary Local /Outstation Member. Modes of Payment: Cheque A/c Payee Cheque drawn in favor of The Sales Tax Practitioners Association of Maharashtra payable at Mumbai. NEFT Details Bank of India, Mazgaon Branch Current Account No. 007020100001816, IFSC Code BKID0000070. Online generated transaction Acknowledgement should be sent by email on stpam2@gmail.com along with membership and payment details Members are requested to send their physical form to the association for Approval, Issuance and office record. Cash Renewal form along with requisite amount will be accepted between 10.30 a.m. and 5.30 p.m. on all working days except Saturday at our Office at Mazgaon Library or Mazgaon Tower, R. No. 8 & 9, Ground Floor, Mhatar Pakhadi Road, Mazgaon,Mumbai 400010. Identity Member should provide Identity Proof as PAN, Adhar Card, Constitution Document & Address Proof Electricity Bill, Passport, Adhar, Driving License, Voter id, Ration Card along with Membership Form Online Members can make online payment on our website www.gstpam.org. Payment Members are requested to download Members Renewal form from website. Update the latest details in the form, scan it and mail at email stpam2@gmail.com.