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ENROLMENT FORM FOR ICAI

MEMBERS AND STUDENTS -DELHI


BATCH DETAILS
DATE 1ST JANUARY, 2020 - 7TH JUNE, 2020

DAY SATURDAY AND SUNDAY

TIMINGS 1600 – 1730 + 1800 – 1930

LAST DATE OF SUBMISSION OF FORM 29TH JANUARY, 2020

MEMBERSHIP /STUDENT REG. NO. ________________________

PERSONAL DETAILS
SURNAME

NAME

EMAIL

MOBILE/ MOBILE /
PHONE(1) PHONE(2)

DATE OF BIRTH SEX

PLACE OF BIRTH

ADDRESS

CITY POSTALCODE
DEMAND
DATE
DRAFT NO.
DRAWN ON

DATE: __/__________/20___ SIGNATURE: _________________________

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