The Institute of Cost and Management Accountants of Bangladesh

ICMA Bhaban, Nilkhet Dhaka-1205 Bangladesh

Expression of Interest Form

Students Profile
Student’s Name

Student ID

Level Completed

Marks Earned

Mobile

Email

Present Address

Corporate Profile (Where Internship Has Been Arranged)

Company Name

Industry

Title of the head of

the company

Address

Proposed Title of
Internship

I do hereby acknowledge that the information as provided in this form is true and fair. For any
misrepresentation of facts, I will be solely held responsible.

Signature of Student with Date

Approved by