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WORBUS Associate Registration

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A. PERSONAL INFORMATION

Name of CA/CPA:*
Experience (in years) :*
Registration Number (can be used as login ID later) :*
Correspondence Address :*
Tel No. - Landline :
Tel No. - Cell :*
Email ID :*

B. DETAILS OF CA/CPA FIRM:

Name of your firm :*
Contact details of firm (Please specify if other than above) :

C. PROFESSIONAL DETAILS/INFORMATION:

Industrial sector you deal with :	SmallMediumLarge
Type of industries you cater to	Aerospace/ DefenseFinancial Services Media/EntertainmentPower ChemicalsHealthcare Metals & MiningReal Estate Consumer/RetailHotels/Gaming Oil & GasTechnology/Software EnergyIndustrials Paper & PackagingTelecommunications AutomotiveTextiles SteelMedical
Your interest in industry	Aerospace/ DefenseFinancial Services Media/EntertainmentPower ChemicalsHealthcare Metals & MiningReal Estate Consumer/RetailHotels/Gaming Oil & GasTechnology/Software EnergyIndustrials Paper & PackagingTelecommunications AutomotiveTextiles SteelMedical
Number of clients with your firm :*

D. OTHERS

Any other information you wish to furnish:

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