The Institute of Chartered Accountants of India No. 216, 2nd Floor, Subbarama Chetty Road, Basvanagudi,Bangalore-560004. Tele. : 080-30563509/ 515, 080-26621434 E-mail : [email protected]APPLICATION FOR REGISTRATION TO INFORMATION TECHNOLOGY TRAINING PROGRAM Batch No. Receipt No 1. Name (in Block Letters) 2. SRO No. 3. Gender ( ) Male Female 4. Date of Birth 5. Father's Name 6. Address 7. PIN Code 8. Phone Home Mobile 9. E-mail ID 10. Timings ( ) 9.30 a.m. - 1.30. p.m. 2.00 p.m. - 6.00 p.m. 11. Demand Draft : Please Affix Recent Passport Size
Please AffixRecentPassport SizePhotoThe Institute of Chartered
Accountants of IndiaNo. 216, 2nd Floor, Subbarama Chetty Road,
Basvanagudi,Bangalore-560004.Tele. : 080-30563509/ 515,
080-26621434E-mail : [email protected]
APPLICATION FOR REGISTRATION TOINFORMATION TECHNOLOGY TRAINING
PROGRAM
Batch No. Receipt No 1. Name (in Block Letters) 2. SRO No. 3.
Gender ( ) Male Female 4. Date of Birth 5. Father's Name
6. Address 7. PIN Code 8. Phone Home Mobile 9. E-mail ID 10.
Timings ( ) 9.30 a.m. - 1.30. p.m. 2.00 p.m. - 6.00 p.m. 11. Demand
Draft : D.D. No. Dated Amount (Rs.) 12. Name of the Bank 13. Name
of the Branch 14. Details of the Pursuing Course IP IPCC PCC PE2
PCC CONVERSATION
