100 Hrs. Advance I. T. Training - Jamnagar Branch of WIRC of ICAI

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Jamnagar Branch of WIRC of ICAI
305, 306, 313 & 314, Mayur Complex, Khdiyar Colony,
Jamnagar – 361006. Tele Fax 0288 – 2713333 email jamnagar@icai.org
Issued
Receipt No.
100 Hrs. Advance I. T. Training
REGISTRATION FORM
Name of the student
:-
_______________________________________
Registration No
:-
_______________________________________
(Enclose the photocopy of Articleship Registration letter)
Final Exam appear on
:-
_______________________________________
Communication Address
:-
_______________________________________
_______________________________________
City
:-
_______________________________________
Contact No.
:-
R)_____________________________________
M)_____________________________________
E-mail ID
:-
_______________________________________
Payment by Cheque/DD
:-
Ch No._____________ Dated ______________
Bank Name _________________ of Rs. 5000/-
Ch./DD in Favour of
:-
“Information Technology Centre, Jamnagar
Branch, ICAI” Payable at Jamnagar.
I hereby declare that the above statements furnished are true and fair to the best of my knowledge.
___________________
Signature of the Student
NOTE
1. Application for refund will not be entertained
2. Branch Managing Committee reserves all the right to alter timings, cancel and change the
student’s registration etc.
Recommendation of Members
Mr./ Ms.____________________________________ is serving under me as an Articled Assistant
w.e.f. ________________and is duly registered with ICAI with above Registration No. I hereby
allowed him/her to join Adv. ITT Course at Jamnagar.
Date
Name of Member
Membership No.
Signature of Member (with Seal)