1. 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 : blritt@icai.org
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 :
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
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