Registration Form

THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA CERTIFICATE COURSE ON IFRS
Affix recent passport sized photograph

1) Full Name in block letters(as per Institute records):

First Name:

Middle Name:

Last Name:

Gender :

Male          Female

2) Member Details:

a) Membership Number :

b) Membership Status :

c) Member Status :

       Others:

d) Any Other Qualifications :

3) Professional Details:

a) Designation :

b) Organization :

c) Address :

d) Nature of Duties :

4) Address for Correspondence:

a) Door Number :

b) Street/Road :

c) Area :

d) City / Town :

        e) PIN Code
f) State

5) Centre Opted:

(Please give the Option)

6) Phone:

Phone no. with STD Code :

         Mobile no.: 

7) Email Address:

Official :

         Personal:

8) Details of Course Fee:

a) Online Payment :

Yes         No

b) Bank Draft / Pay Order no. :

        Date: 

Amount in Rs. :

Drawn on Bank :

              Branch: 

Date:

 

 
(Signature of the applicant)

Place :

Notes:

  1. Fees Structure: Rs. 30,000/- per member (including lunch, tea, snacks etc.) for the complete course.

  2. In case the payment is through D.D/Pay Order, it should be drawn in the favour of “The Secretary, The Institute of Chartered Accountants of India”, payable at New Delhi .

  3. Enclose one Passport Sized photograph.

  4. Enclose self attested photocopy of the Institute I-card of membership letter of Membership Certificate.

  5. Whether the payment is online of through D.D., the applicant is required to submit a hard copy of the application form to the Nodal Officer, IFRS Certification Course, I Floor, Administrative Wing, The Institute of Chartered Accountants of India, ICAI Bhawan, A-29, Sector 62, Noida - 201 309 Uttar Pradesh , Contact:0120-3045928