21st MANAGEMENT SKILLS ORIENTATION PROGRAMME [MSOP

21st MANAGEMENT SKILLS ORIENTATION PROGRAMME [MSOP]
The ICSI-SIRC is conducting its 21st MANAGEMENT SKILLS ORIENTATION PROGRAMME
[MSOP] from 21st January 2015 to 7th February 2015 (25th, 26th and 1st February 2015 are
holidays) at ICSI-SIRC House, 9, Wheat Crofts Road, Nungambakkam, Chennai - 600 034. The
last date for registration is 19th January 2015.
Batch No.
Date
21st Batch
of MSOP
21st January
2015
to
7th February
2015
Venue of Programme
Contact
ICSI–SIRC House,
The Regional Director,
9, Wheat Crofts Road,
Nungambakkam,
The Institute of Company
Secretaries of India,
Southern India Regional
Office,
Chennai – 600 034.
9, Wheat Crofts Road,
Nungambakkam,
Chennai – 600 034.
Phones:
044-28279898 / 28268685
Email : siro@icsi.edu
The participation fee is Rs.5,000/- [Rupees Five Thousand only]. The fee does not include lunch
and the outstation participants have to make their own arrangements for Stay.
REGIONAL DIRECTOR
ICSI – SIRO
MANAGEMENT SKILLS ORIENTATION PROGRAMME
APPLICATION FORM
1. NAME
:
2. STUDENT REGN. NO.
:
3. LICENCIATE NO.
:
4. PARTICULARS OF PASSING THE PROFESSIONAL PROGRAMME / FINAL EXAMINATION:
[Xerox copies should be enclosed]
Exam
Professional Programme –
Module I / Final Group – I
Professional Programme –
Module II / Final Group – II
Professional Programme –
Module III / Final Group – III
Professional Programme –
Module IV
Session & Year
Registration / Roll Number
5. FULL MAILING ADDRESS
E-Mail
:
:
6. IF EMPLOYED, PLEASE STATE:
(a) Designation/Position
:
(b) Name of the Organization
:
(c)Address
:
E-Mail
7. TELEPHONE No(s).
8. DETAILS OF PRACTICAL
EXPERIENCE ACQUIRED/
MANAGEMENT TRAINING/
:
:
MOBILE
:
RESIDENCE
:
OFFICE
:
:
APPRENTICESHIP UNDERGONE
AS PROVIDED UNDER
REGULATION 48.
9. DETAILS OF PRACTICAL TRAINING
:
UNDERGONE UNDER
REGULATION 50
10. DETAILS OF TOTAL OR PARTIAL
:
EXEMPTION FROM PRACTICAL
TRAINING OBTAINED UNDER
REGULATION 51 OR 52.
11. ACADEMIC/PROFESSIONAL
:
QUALIFICATIONS
12. PARTICULARS OF FEE PAID
: [1] DD No.__________dated__________for Rs.5,000.
[Or]
[2] Cash
Rules regarding refund and transfer of fee:



Fee once paid will not be refunded
Fee can be transferred to the immediate subsequent session of MSOP and such request to
be received before the commencement of the programme
Fee once transferred to the immediate subsequent session, the same cannot be
retransferred and the fee paid shall remain forfeited.
13. DECLARATION
I solemnly declare that whatever I have stated above is true & correct and hereby undertake that I shall
abide by the training requirements/norms of the Institute.
PLACE:
DATE:
SIGNATURE
IMPORTANT:
/ FOR THE LIST OF COPIES TO BE ENCLOSED, SEE THE NEXT PAGE /
Enclosures
Enclosures for those who have
completed 15 months management
training
Put
a
tick
mark
Enclosures for those who are
exempted
from
undergoing
management training
1. Application form in the prescribed
format.
1. Application form in the prescribed
format.
2. Copy of Final / Professional
programme passing certificate
2. Copy of Final / Professional
programme passing certificate
3. Copy of Institute’s sponsorship letter
for undergoing training.
3. Copy of the exemption letter from
the Institute.
4. Copy of Training Orientation Program
/ Executive Development Programme
completion certificate.
4. Passport size photograph – 1
5. Copy of Academic Development
Programs / Professional Development
Programmes completion certificate.
5. Fee: Cash
/
Cash Receipt No. :
[or]
DD
Put a
tick
mark
DD Details
6. Copy of the 15 months management
training completion certificate.
7. Passport size photograph – 1
8. Fee: Cash / DD
Cash Receipt No. :
[or]
DD Details
:
: