You are on page 1of 3

INSTITUTE OF CERTIFIED PUBLIC

ACCOUNTANTS OF PAKISTAN (ICPAP)


Plot No 13, St 42, F-8/1, Islamabad.
Ph: 0092-51-285 3018-9
E-mail: info@icpap.com.pk, admissions@icpap.com.pk
(The Institute of Certified Public Accountants of Pakistan (ICPAP) has established in
Pakistan, under license from Joint Registrar of Companies, Govt. of Pakistan, Islamabad,
under Societies Registration Act, XXI of 1860)

STUDENT REGISTRATION APPLICATION


FORM
I, hereby apply for registration as a student of the Institute of Certified
Public Accountants of Pakistan (ICPAP) and if admitted agree to abide by
the Bye-Laws, Rules and Regulations of the Institute.
Name in Full:
______________________________________________________________
Fathers Name:
____________________________________________________________
Date of Birth:
______________________________________________________________
Address (Residence):
______________________________________________________
___________________________________________________________________________
Address (Office):
__________________________________________________________
___________________________________________________________________________
Name & Address of Employer:
______________________________________________
___________________________________________________________________________
Tel (Residence):
___________________________________________________________

Tel (Office):
_______________________________________________________________
Cell: ____________________________ E-mail:
__________________________________
Present Position:
___________________________________________________________
Date of Joining:
___________________________________________________________
Educational & Professional Qualifications:
Institution

Year Division

1. Matriculation:

__________

_________

____________

2. Intermediate:

__________

_________

____________

3. Graduation:

__________

_________

____________

4. Post Graduation:
____________

__________

_________

5. Professional Qualification if any


____________

__________

_________

Employers
Position
Experience
(Years/Months)
______________
__________
________________________

Annual Salary

______________
__________
________________________
______________
__________
________________________

________________

Job

________________

________________

I enclose herewith Rs.10,000/- as Registration fee and Rs.1,500/- as


Annual Subscription in favor of ICPAP through Crossed Cheque, Demand
Draft & Pay Order along with two photographs and copy of CNIC .
Dated: ____________ Signature of Applicant/Candidate:
_____________________

FOR OFFICE USE ONLY


National Identity Card Number:
_________________________________________
Documents in Order/Completed:
_______________________________________
Registration Number Allotted:
___________________________________________
Amount Received in Cash/Check/Demand Draft/Pay Order:
___________
________________________________________________________________________
Dated: ___________________ Signature of Secretary:
_______________________

You might also like