APPLICATION FORM STUDENT INDUCTION PROGRAMME (SIP)

(Fill up the form in Bold Letters / First Alphabets)

For Office Use Only

Sip Number: Receipt No: Payment Date: .

Payment Details:___________________________________________________________.

First Name: _______________________________________ Affix Passport Size

Photo
Middle Name: _____________________________________

Last Name: _______________________________________

Registration No: __________________________________

Educational Qualification
Degree School / Univ Grade / Perc Year

Address _______________________________________________
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Contact Number Cell ________________________________
Residence ________________________________
Work ________________________________
Email ID __________________________________________

1. Have you ever attended any Personality Development program before? If yes,
then when, where, how many days, which institute or teacher? Paid or free?
What did you learn?
ICSI-Ahmedabad Chapter
Maneklal Mills Complex S-2 Tower B Chinubhai Towers Opp Handloom House Ashram Road Ahmedabad: 380009
Tel: 079-26589343, 32918705 (11 AM to 5 PM) Email: ahmedabad@icsi.edu
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ICSI-Ahmedabad Chapter
Maneklal Mills Complex S-2 Tower B Chinubhai Towers Opp Handloom House Ashram Road Ahmedabad: 380009
Tel: 079-26589343, 32918705 (11 AM to 5 PM) Email: ahmedabad@icsi.edu
 2. What are your hobbies or interests?
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3. Why do you want to attend Company Secretary Course?

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4. Why do you want to attend Student Induction Programme (SIP)?
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5. What 3 important things you want to learn?

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6. What are the issues, which bother you?_____________________________

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7. Who is your role model? ______________________________________________

8. Which film you liked the most? Why? _____________________________________

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9. Which song you liked the most? Why?

ICSI-Ahmedabad Chapter
Maneklal Mills Complex S-2 Tower B Chinubhai Towers Opp Handloom House Ashram Road Ahmedabad: 380009
Tel: 079-26589343, 32918705 (11 AM to 5 PM) Email: ahmedabad@icsi.edu
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Today’s Date: Signature

ICSI-Ahmedabad Chapter
Maneklal Mills Complex S-2 Tower B Chinubhai Towers Opp Handloom House Ashram Road Ahmedabad: 380009
Tel: 079-26589343, 32918705 (11 AM to 5 PM) Email: ahmedabad@icsi.edu