Federation of Tax Practitioners of Tamilnadu

Membership Application Form

Please fill in all sections (A through G) accurately. Upload your passport photo and supporting documents before submitting.

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Submission Error

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@csrf

DISTRICT *

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@enderror

MEMBERSHIP CATEGORY *

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@enderror

PERSONAL & CONTACT DETAILS

Full Name *

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@enderror

Father's / Spouse's Name *

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@enderror

Date of Birth

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@enderror

Blood Group

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@enderror

Residential Address *

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@enderror

Applicant Photo

Passport Size (JPG/PNG, Max 5MB) @error('photo_doc')

@enderror

WhatsApp Number *

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@enderror

Alternative Mobile

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@enderror

Email Address *

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@enderror

PROFESSIONAL DETAILS

Firm / Office Name

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@enderror

Designation / Status

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@enderror

Professional Address

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@enderror

Years of Practice

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@enderror

Chapter / Association

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@enderror

Reference / Proposed By

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Professional Qualification

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Other Qualification

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PAN Number *

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@enderror

Aadhaar Number (Optional)

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@enderror

GSTIN (Optional)

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@enderror

TAX / PROFESSIONAL REGISTRATIONS

Provide registration details for any applicable tax practitioner category:

Qualification / Wing	Registration No.	Year	Experience
STP Sales Tax Practitioner
VAT Value Added Tax
GSTP GST Practitioner
ITP Income Tax Practitioner
CTPr Commercial Tax Practitioner

NOMINEE DETAILS

Nominee Full Name

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Relationship with Applicant

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Nominee Date of Birth

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Nominee Mobile Number

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Nominee Residential Address

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@enderror

DOCUMENTS ENCLOSED

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Note on Attached Documents: Standard browser security prevents pre-populating file upload fields. If you previously chose files, please re-attach them before submitting.

@endif

PAN Card Copy PDF or Image (Max 5MB) @error('pan_card_doc')

@enderror

Aadhaar Card Copy PDF or Image (Max 5MB) @error('aadhaar_card_doc')

@enderror

STP Certificate Sales Tax Practitioner Certificate @error('stp_cert_doc')

@enderror

VAT Certificate Value Added Tax Certificate @error('vat_cert_doc')

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GSTP Certificate GST Practitioner Certificate @error('gstp_cert_doc')

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ITP Certificate Income Tax Practitioner Certificate @error('itp_cert_doc')

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CTPr Certificate Commercial Tax Practitioner Cert. @error('ctpr_cert_doc')

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Other Tax Certificate Combined / Other Tax Certificate @error('tax_cert_doc')

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Professional Qualification Certificate Degree / LL.B / CA / Diploma Copy @error('qualification_cert_doc')

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Address Proof Electricity bill / Rent agreement / Gas bill @error('address_proof_doc')

@enderror

Payment Confirmation / Transfer Receipt (Screenshot / PDF)

Attach your membership fee transfer screenshot, bank payment receipt, or transaction confirmation image/PDF.

Upload UPI Screenshot / Bank Counterfoil / Transfer Slip (PNG, JPG, PDF, Max 5MB) @error('payment_proof_doc')

@enderror

WELFARE / INSURANCE DETAILS (Optional)

Height

Weight

Insurance / Policy No.

Remarks

DECLARATION & UNDERTAKING

I hereby declare that the information furnished by me in this Membership Application Form is true and correct to the best of my knowledge and belief. I agree to abide by the Rules, Regulations, Bye-Laws and Code of Conduct of the Federation of Tax Practitioner's, Tamilnadu, and undertake to maintain the dignity and professional standards of the Federation.

CONFIDENTIALITY NOTE: Personal information submitted in this application will be handled with strict confidentiality for official membership, state statutory, and welfare administration.

Place *

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Date *

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@enderror

I Accept & Confirm Declaration * @error('declaration')

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@php $mNum1 = session('membership_math_num1', $num1 ?? rand(1, 9)); $mNum2 = session('membership_math_num2', $num2 ?? rand(1, 9)); if (!session()->has('membership_math_answer')) { session([ 'membership_math_num1' => $mNum1, 'membership_math_num2' => $mNum2, 'membership_math_answer' => $mNum1 + $mNum2, ]); } @endphp

Security Check *

Required

Please solve the simple arithmetic calculation below to verify that you are a genuine human applicant.

Calculate: {{ $mNum1 }} + {{ $mNum2 }} = ?

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@enderror