BOARD OF STUDIES

Application for Registration for the Course of

35 Hours ORIENTATION PROGRAMME
under ATC/IPCC Course

PHOTOGRAPH

Demand Draft in favour of: JAIPUR BRANCH OF CIRC OF ICAI

(Payable at Jaipur)
Fee: Rs.3000/-

Registration No/CRO: ________________________

Name of the student: _________________________

1.

(First Name)

_______________________________
(Last Name)

2.

Fathers Name__________________________________________________________________

3.

Sex (Please tick)

4.

Date of birth: ________ / ________/ ________

6.

Permanent Address______________________________________________________________

Male / Female
5. Course ATC / I P C C _______________

______________________________________________________________________________
_________________________ City: ________________________ Pin: ____________________
Mobile._______________________________ Telephone No.____________________________
7.

Details of CPT Exam passed: Roll No...Month...Year.

8.

Details of Fee: Bank Draft / Pay Order No. ____________________ Date_________________

Rs._____________Drawn on Bank__________________Branch_______________

I declare that the particulars given above are true and correct to the best of my knowledge and belief.
Date :
Place :
( Signature of applicant )
__________________________________________________________________________________________
(For Students)

Documents Required (Photocopy)

CPT Registration letter OR CPT Marksheet
IPCC Registration OR Book slip (Acknowledgement of IPCC)
Note:

Throughout the Orientation Program students will come in formal dress:

For Boys: Full seeleve shirt + Trouser + Shoes For Girls: Suits + Dupptta / Saree
Throughout the Orientation Program students have to carry the material given on the 1st day
FOR OFFICE USE ONLY
Checked and verified that the application is complete in all respect with supporting documents.Received an application for
registration to the course on Orientation Programme of ATC/IPCC.

Receipt No.
Receipt No:

Batch Alloted
Batch Alloted:

Orientation Incharge
(Signature)
Orientation Incharge