The document is a registration form for the Indian Institute of Capital Markets' professional development programme on financial modelling using Microsoft Excel. The programme is scheduled for various dates in 2012 and 2013, with a participation fee of Rs 25,000 per participant. Participants must submit the form with a cheque or demand draft to register for the program.

5. REGISTRATION FORM
INDIAN INSTITUTE OF CAPITAL MARKETS
Professional Development programme on
“FINANCIAL MODELLING USING MICROSOFT EXCEL”
We nominate the following participant to attend the Program:
Name of the participant: ______________________________________________________
Designation : _______________________________________________________________
Organisation : _______________________________________________________________________
Address: ___________________________________________________________________________
___________________________________________________ Telephone:______________________
Mobile No.: __________________________ Fax:_______________________
Email: __________________________________________________
Cheque/DD. No_____________ dated _______________ for R _________________ drawn on
___________________________ in favour of “Indian Institute of Capital Markets” is enclosed.
Signature & Stamp of the Nominating Authority: ___________________________________________
Programme Fees: R 25,000/-* (all inclusive) per participant on Non-residential basis
(*The fees include participation, course material, books (if any), lunch and tea/coffee)
Programme Dates: (Tick the appropriate Box) 
SN Dates Tick SN Dates Tick
1 July 2- 6, 2012 4 January 7 – 11, 2013
2 September 3 – 7, 2012 5 March 4 – 8, 2013
3 November 5 – 9, 2012
Registration form alongwith Cheque /DD to be send at the following address:
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
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