ITAT Bar Association

I may please be enrolled as member of the Income Tax Appellate Tribunal Bar Association
New Delhi. My particulars are as under:

Name

Father's / Husband's Name

Date of Birth

Blood Group

Office Address

Residence Address

Correspondence Address

Office

Residence

Designation / Qualification

Membership No

Mobile

Office Phone

Residence Phone

E-Mail

Password

Confirm Password

Upload Photo (jpg / jpeg / png)

Select Membership Type

Regular Membership (₹7000)

Study Circle Membership (₹2500)

Life Membership (₹25000)

Mode of Payment

Cash

Cheque

UPI

Draft

Upload Documents (jpg / jpeg / png / pdf) Upload: 4 Photos, ID Proof, Professional Certificate

Declaration

I declare that the above information is correct and I agree to the association rules.

I Agree

Place

Date

Applicant Signature (jpg / jpeg / png)