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GRANDFATHERING FORM Paste


To be filled by the Office Recent
Registration # _________ (Stock Brokers Certification Exam
Passport-
` only)
size
The applicant should fill all columns in capital letters. Do not Colour
overwrite. Photograph
Tick ( ) mark the appropriate box where necessary.
Please carefully read the instructions at the end of this form

This Form is applicable for Grandfathering of ICM Stock Brokers' Certification


Exam only.

PERSONAL DATA
Applicant's
Name

Father/Husband’s
Name

Femal
Date of Birth (dd/mm/yy) - - Gender  Male  e

CNIC # - -

Passport # (Foreign nationals


only)

Postal Address

Permanent
Address

Telephone (Res.) Telephone (Off.)

Mobile No.

Email Address 1

Email Address 2

Institute of Capital Markets


Ph: (92-21) 32072096-7 Email: info@icm.org.pk Website: www.icm.org.pk
ACADEMIC/ PROFESSIONAL QUALIFICATIONS
QUALIFICATION SCHOOL/ BOARD/ YEAR OF GRADE/ GPA MAJOR
S* COLLEGE/ UNIVERSITY PASSING SUBJECTS
UNIVERSITY Annua Seat
l/ No.
Supp

*Start with the latest qualification

SECURITIES MARKET EDUCATION/ CERTIFICATIONS


Do you hold any certification/ qualification from any other Securities Institute like CFA, IMC, CFP, etc.?
 YES  NO
If yes, please provide details below.
QUALIFICATION INSTITUTE YEAR RESULT OTHER DETAILS
(if any)

WORK EXPERIENCE*
ORGANIZATION TITLE/ POSITION FROM TO OTHER DETAILS
(if any)

* Please attach certificate of work experience

FEE SUBMISSION
Please find enclosed a:

PAY ORDER/ DEMAND DRAFT No.* Amount Rs.


_____________________ __________________________________________

Drawn on Bank: Branch:


_____________________________________ _____________________________________________
Institute of Capital Markets
Ph: (92-21) 32072096-7 Email: info@icm.org.pk Website: www.icm.org.pk
Amount in words:
___________________________________________________________________________________________

* Candidates from Karachi city should send a pay order while outstation candidates should send a
demand draft in favour of "INSTITUTE OF CAPITAL MARKETS".

DECLARATION
I hereby certify that the information given above is correct and I take full responsibility for any incorrect
information. I clearly understand that acceptance of my application form does not mean qualification of
ICM examination(s).

I hereby agree to abide by the rules and regulations of the ICM, as applicable currently, and
revised/updated/enforced, from time to time. I have also read all terms and conditions at the end of this
form.

Date (dd-mm-yy): ________________________ Applicant's Signature:


______________________________________

FOR OFFICE USE ONLY


GRAND FATHERING (Stock Broker) Form and attached documents have been checked and verified.
Application accepted for further processing.
Comments:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Date (dd-mm-yy): ________________________ Registration Officer:


______________________________________

REQUIRED DOCUMENTS
1. Attested copies of all academic/professional qualifications certificates and transcripts.

2. Attested copies of professional/work experience letters and other documents from the employer
substantiating the claim for Grand-Fathering (ICM Stock Broker Certification Exam) on the basis of
experience.

3. Attested copy of Computerized National Identity Card (CNIC). Foreign citizens should submit a
copy of passport. This is to establish the age of the applicants.

4. Two (02) Passport-sized coloured recent photographs.

TERMS AND CONDITIONS


1. The Institute's Grandfathering exemptions are governed by a number of policies and regulations.
It is important that applicants familiarize themselves with these prior to request for
Grandfathering exemption. You can download any of the policies from ICM's website.

Institute of Capital Markets


Ph: (92-21) 32072096-7 Email: info@icm.org.pk Website: www.icm.org.pk
2. Applicants are required to complete the Grandfathering Form in all respects. Please clearly mark
"N/A" to all columns which are Not Applicable.

3. ICM reserves all rights to verify the work experience letter and/or any other document
accompanying the Form certifying five years experience as “Broker, Trader, Sales Agent,
Professional working at equity brokers/brokerage houses and providing buying/selling investment
advice to clients”

4. For detailed policies, please visit ICM's website at www.icm.org.pk

Please complete and return to:


INSTITUTE OF CAPITAL MARKETS
By dropping this form and other required documents in a sealed envelope at any OCS centre in Pakistan
Please clearly mark the envelope addressed to ICM and the programme applied for.

Institute of Capital Markets


Ph: (92-21) 32072096-7 Email: info@icm.org.pk Website: www.icm.org.pk

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