For details visit website www.utiicm.com, registration contact on 27820153/15/14

5. REGISTRATION FORM
INDIAN INSTITUTE OF CAPITAL MARKETS
CERTIFICATE COURSE IN
“APPLIED FINANCIAL MODELLING USING MICROSOFT EXCEL”
(for students of professional courses such as MBA, CA, CFA… )
Name (Mr./Mrs./Ms.) _________________________________________________________
College/Institute/Others: _______________________________________________________
Communication Address: __________________________________________________________
__________________________________________________________________________________
____________________________________________________________Pincode:______________
Tel. no.______________________________________ Fax no.______________________________
Mobile no. ___________________________ Email:______________________________________
Educational Qualifications: _________________________________________________________
Cheque/DD. No._____________ dated _______________ for R _________________ drawn on
___________________________ in favour of “Indian Institute of Capital Markets” is enclosed.
How did you come to know about this programme? Please tick ()
Advertisement Direct Mailing: Courier Email
Website Colleagues/Friends Others (Please specify)
Course Fees: Refer to the Table 1/the Box1 in the course brochure.
* The Course fees include the participation’s course material, Lunch, tea/coffee and books (if any).
Tick the Appropriate Option: Full time/ Evenings/ Weekends
Course Dates:
Date:
Place: Applicant’s Signature
Registration form alongwith Cheque /DD to be send at the following address:
Mr. Milan Anjarlekar
Indian Institute of Capital Markets (UTI Institute of Capital Markets)
2nd Floor Hindavi Bhavan, Plot No. 13, Sector 1, Vashi, Navi Mumbai – 400 703
Tel No.: 022-2782 0114/15 Telefax: 022-2782 0153/54
Email: pdp@utiicm.com, info@utiicm.com Website: www.utiicm.com