POST QUALIFICATION COURSE IN INSURANCE AND RISK MANAGEMENT
Technical Examination, May, 2015
(Under Regulation 204 of the Chartered Accountants Regulations, 1988)
Cost of Application Form : Rs. 100/-th Last Date : 24 February, 2015 (Without late fee)
rd 3 March, 2015 (With late fee of Rs. 500/-)
HOW TO FILL-IN FORM
I. 1. Kindly write the date of issue of demand draft.
2. Write amount of fee paid. Please also ( ) the relevant box. (Fee is Rs. 1000/- without
late fee and Rs. 1500/- with late fee. Please add Rs.100/- if the form is downloaded
from the Institute's website).
3. Write name of the Bank.
4. Write number of the Demand Draft.
5. Demand Draft should be drawn in favour of "The Secretary, The Institute of Chartered
II. 1. Kindly write your name exactly as recorded in the Register of Members i.e.
2. Write the name of your father exactly as appearing in the Membership Certificate.
3. Write the name of the place you belong to. The same will appear on the pass
4. Write your membership number. Kindly take special care to write your correct
5. Tick the appropriate box.
6. Supposing your registration number is DIRM/S/00718, Fill in like :
Accountants of India" and payable at New Delhi only.
Membership Certificate..
Married female members are to write Father's Name only.
certificate issued to all the pass candidates.
membership number.
D I R M / S / 0 0 7 1 8
7. Write the name of a city from amongst the list of centres as given in Col.8 of "Notes
for Information and Guidance of Applicants: from where you wish to write the IRM
Technical Examination.
8. Write the No. and Date of Eligibility Certificate, as recorded on the Eligibility
9. Write your complete postal address, very clearly in Capital Letters for mailing Admit
10. Write your E-mail address for our records / use.
11. Write your Phone No. also under your address in column No.9
Enclosures : Please attach (i) demand draft (ii) copy of evidence of being a member of ICAI
Certificate issued to you by the Committee on Banking, Insurance and Pension.
Card, Pass Certificate, Correspondence, if any.
(iii) Admit card proforma (iv) Address Slips.
Please tick in relevant boxes.
Click Here to download the notificatin and application form : Download
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