@php $logoPath = public_path('assets/img/ftptn-logo.jpeg'); $logoBase64 = file_exists($logoPath) ? 'data:image/jpeg;base64,' . base64_encode(file_get_contents($logoPath)) : ''; $photoBase64 = ''; if ($application->photo_doc) { $candidatePath = ''; if (file_exists(public_path($application->photo_doc))) { $candidatePath = public_path($application->photo_doc); } elseif (file_exists(storage_path('app/public/' . $application->photo_doc))) { $candidatePath = storage_path('app/public/' . $application->photo_doc); } if ($candidatePath) { $photoType = pathinfo($candidatePath, PATHINFO_EXTENSION); $mime = ($photoType === 'png') ? 'image/png' : 'image/jpeg'; $photoBase64 = 'data:' . $mime . ';base64,' . base64_encode(file_get_contents($candidatePath)); } } @endphp
@if($logoBase64) @endif
FEDERATION OF TAX PRACTITIONERS
TAMILNADU
(Regd. No. 50/2018)
Regd. Office: Rajbhavan, No:1829, Keeraikadai Lane, South Main Street, Thanjavur – 613009
Admin Office: No.19, Sodanayyakar Street, Bishop Road, Puthur 4 Road, Trichy – 620017
Email: ftptmailnadu@gmail.com  |  Phone: +91 93630 01775
APPLICATION NO.
{{ $application->application_no }}
Date: {{ $application->created_at ? $application->created_at->format('d-m-Y') : date('d-m-Y') }}
MEMBERSHIP APPLICATION FORM
MEMBERSHIP NO.: {{ ($application->status === 'approved' && $application->membership_no) ? $application->membership_no : '___________________' }} District : {{ $application->district }}
Membership Category: {{ $application->membership_category == 'Ordinary' ? '✓' : '' }} Ordinary {{ $application->membership_category == 'Life' ? '✓' : '' }} Life {{ $application->membership_category == 'Associate' ? '✓' : '' }} Associate {{ $application->membership_category == 'Other' ? '✓' : '' }} Other Date of Admission: {{ $application->date_of_admission ? $application->date_of_admission->format('d-m-Y') : '_________________' }}
A. PERSONAL & CONTACT DETAILS
NAME {{ $application->name }}
@if($photoBase64) Photo @else
Affix
Passport Size
Photograph
@endif
FATHER'S / SPOUSE NAME {{ $application->father_spouse_display }}
DATE OF BIRTH / BLOOD GRP {{ $application->dob ? $application->dob->format('d-m-Y') : '-' }}  |  Blood Group: {{ $application->blood_group ?: '-' }}
CONTACT NUMBERS Mobile: {{ $application->mobile_number }} @if($application->whatsapp_number && $application->whatsapp_number != $application->mobile_number) | WA: {{ $application->whatsapp_number }} @endif @if($application->alt_mobile_number) | Alt: {{ $application->alt_mobile_number }} @endif
EMAIL ID {{ $application->email }}
RESIDENTIAL ADDRESS {{ $application->full_resident_address }}
B. PROFESSIONAL DETAILS
Firm / Office Name {{ $application->firm_name ?: '-' }} Designation / Status {{ $application->designation ?: '-' }}
Professional Address {{ $application->full_office_address ?: '-' }} Years of Practice {{ $application->years_of_practice ?: '-' }}
Chapter / Association {{ $application->chapter_association ?: '-' }} Reference / Proposed By {{ $application->reference_proposed_by ?: '-' }}
Prof. Qualification {{ $application->professional_qualification ?: ($application->education_qualification ?: '-') }} Other Qualification {{ $application->other_qualification ?: '-' }}
GSTIN {{ $application->gstin ?: '-' }} PAN NUMBER {{ $application->pan_number }}
C. TAX / PROFESSIONAL REGISTRATION DETAILS
Qualification / Registration Registration No. Year Experience
STP (Sales Tax Practitioner) {{ $application->reg_stp_no ?: '-' }} {{ $application->reg_stp_year ?: '-' }} {{ $application->reg_stp_exp ?: '-' }}
VAT (Value Added Tax) {{ $application->reg_vat_no ?: '-' }} {{ $application->reg_vat_year ?: '-' }} {{ $application->reg_vat_exp ?: '-' }}
GSTP (GST Practitioner) {{ $application->reg_gstp_no ?: '-' }} {{ $application->reg_gstp_year ?: '-' }} {{ $application->reg_gstp_exp ?: '-' }}
ITP (Income Tax Practitioner) {{ $application->reg_itp_no ?: '-' }} {{ $application->reg_itp_year ?: '-' }} {{ $application->reg_itp_exp ?: '-' }}
CTPr (Certified Tax Practitioner) {{ $application->reg_ctpr_no ?: '-' }} {{ $application->reg_ctpr_year ?: '-' }} {{ $application->reg_ctpr_exp ?: '-' }}
D. NOMINEE DETAILS
Nominee Name {{ $application->nominee_name ?: ($application->nominee ?: '-') }} Relationship {{ $application->nominee_relationship ?: '-' }}
Date of Birth {{ $application->nominee_dob ? $application->nominee_dob->format('d-m-Y') : '-' }} Mobile Number {{ $application->nominee_mobile ?: '-' }}
Nominee Address {{ $application->nominee_address ?: '-' }}
Page 1 of 2 • Federation of Tax Practitioners of Tamilnadu (Regd. No.50/2018) • Generated on {{ date('d-m-Y h:i A') }}
@if($logoBase64) FTPTN Logo @endif
FEDERATION OF TAX PRACTITIONERS OF TAMILNADU
MEMBERSHIP APPLICATION – PART II
 App No: {{ $application->application_no }}
E. DOCUMENTS ENCLOSED
{{ $application->pan_card_doc ? '✓' : '' }} PAN Card {{ $application->aadhaar_card_doc ? '✓' : '' }} Aadhaar Card {{ $application->photo_doc ? '✓' : '' }} Passport Photo {{ $application->payment_proof_doc ? '✓' : '' }} Payment Receipt
{{ $application->stp_cert_doc ? '✓' : '' }} STP Certificate {{ $application->vat_cert_doc ? '✓' : '' }} VAT Certificate {{ $application->gstp_cert_doc ? '✓' : '' }} GSTP Certificate {{ $application->itp_cert_doc ? '✓' : '' }} ITP Certificate
{{ $application->ctpr_cert_doc ? '✓' : '' }} CTPr Certificate {{ $application->tax_cert_doc ? '✓' : '' }} Other Tax Cert. {{ $application->qualification_cert_doc ? '✓' : '' }} Prof. Qual. Cert. {{ $application->address_proof_doc ? '✓' : '' }} Address Proof
F. WELFARE / INSURANCE DETAILS (OPTIONAL)
Height Weight Insurance / Policy No. Remarks
{{ $application->height ?: '-' }} {{ $application->weight ?: '-' }} {{ $application->insurance_policy_no ?: '-' }} {{ $application->insurance_remarks ?: '-' }}
G. DECLARATION
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 Practitioners, Tamilnadu, and undertake to maintain the dignity and professional standards of the Federation.
PRIVACY NOTE: Personal information furnished in this form will be used only for membership, statutory, welfare, insurance and administrative purposes and handled with strict confidentiality.
Place: {{ $application->declaration_place ?: $application->district }} Applicant's Signature: {{ $application->name }}
Date: {{ $application->declaration_date ? $application->declaration_date->format('d-m-Y') : date('d-m-Y') }} Name: {{ $application->name }}
H. FOR OFFICE USE ONLY
Application Verified: {{ $application->office_verified == 'Yes' ? '✓' : '' }} Yes {{ $application->office_verified == 'No' ? '✓' : '' }} No Membership Approved: {{ $application->office_approved == 'Yes' || $application->status == 'approved' ? '✓' : '' }} Yes {{ $application->office_approved == 'No' || $application->status == 'rejected' ? '✓' : '' }} No
Receipt No: {{ $application->office_receipt_no ?: '_______________' }} Amount Received: ₹ {{ $application->office_amount_received ?: '_______________' }}
Membership No: {{ ($application->status === 'approved' && $application->membership_no) ? $application->membership_no : '_______________' }} Admission Date: {{ $application->office_date ? $application->office_date->format('d-m-Y') : '_______________' }}
Verified / Approved By: {{ $application->office_approved_by ?: '_______________' }} Authorized Signatory: _________________________
Page 2 of 2 • Official Document • Federation of Tax Practitioners of Tamilnadu (Regd. No.50/2018)