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INSTITUTE OF COST AND MANAGEMENT ACCOUNTANTS OF PAKISTAN

ST-18/C, ICMAP Avenue, Block 6, Gulshan-e-Iqbal, Karachi-75300, Tel: 021-99243900, Fax: 021-99243342,
Email: exam@icmap.com.pk, Website: www.icmap.com.pk

EXAMINATION APPLICATION FORM

FOR OFFICE USE ONLY

(if required to be changed)
BRANCH/IREP: Provide Recent Photograph
SR. NO.: Not more than six (6)
months
older (Passport Size)
DATE OF RECEIPT: Write Name & Registeration
No. on the back-side of
photograph.

Voucher Date/ Time : 30-May-2022 02:59 PM Voucher No.: JUN22-03344

Registration No.: 20213038 Session : JUN22
Name : ASIF KHAN Exam Centre : Karachi
Address : ORANGI TOWN,SECTOR-10,AFRIDI COLONY,KARACHI.
Mobile : 03151006231
Email : pasif1696@gmail.com
Residance No.: 0346-2072731
Office No.:
Course(s) Exam Fee (PKR) Upto Due Date Amount (PKR)
Business Communication & Report Writing 3,000 31-May-2022 3,000

DECLARATION:
VERIFY BY ACCOUNTS DEPT.
I hereby declare that I have understood the requirements of filling this form and that I take full ANNUAL SUBSCRIPTION
responsibility for any omission or error in filling the form and I also declare that to the best of my  1. Peroid (20______)
knowledge and belief the information given in this form is correct and complete in all respects. In the
event of being found otherwise I shall abide by the decision of the Institute to summarily reject my  2. Amount in PKR
application/ withhold my result. I also undertake to abide by the regulations framed by the Council for
Signature of Candidate
 3. Receipt No.
the guidance of the candidates appearing for the examinations.
 4. Dated

PROVISIONAL ACKNOWLEDGEMENT Voucher Date:

Sr. No.
(To be filled in by the candidate) 30-May-2022 02:59 PM
Registration No.: 20213038 Amount (PKR): 3,000
Name: ASIF KHAN Voucher No.: JUN22-03344
Mailing Address: ORANGI TOWN,SECTOR-10,AFRIDI COLONY,KARACHI. Receiver's Signature
 INSTITUTE OF COST AND MANAGEMENT ACCOUNTANTS OF PAKISTAN
ST-18/C, ICMAP Avenue, Block 6, Gulshan-e-Iqbal, Karachi-75300, Tel: 021-99243900, Fax: 021-99243342,
Email: exam@icmap.com.pk, Website: www.icmap.com.pk

Payment Voucher

Examination Copy ASKARI BANK LIMITED Voucher No.: JUN22-03344

Credit : ICMA Pakistan Account # : 32-01-005-7739-6 (Gulistan-e-Johar Branch, Karachi)
Exam Centre: Karachi Voucher Date: 30-May-2022 02:59 PM
Reg.ID: 20213038 Name: ASIF KHAN Contact: 03151006231 Session: JUN22
Payment Information
Course(s) Exam Fee (PKR) Upto Due Date Amount (PKR)
Business Communication & Report Writing 3,000 31-May-2022 3,000
Annual Subs. / Activity / ID-Card fee : 0
Total Amount (PKR) : 3,000
Receiver's Signature/Stamp:________________________ Receiving Date:_________________

Student Copy ASKARI BANK LIMITED Voucher No.: JUN22-03344

Credit : ICMA Pakistan Account # : 32-01-005-7739-6 (Gulistan-e-Johar Branch, Karachi)
Exam Centre: Karachi Voucher Date: 30-May-2022 02:59 PM
Reg.ID: 20213038 Name: ASIF KHAN Contact: 03151006231 Session: JUN22
Payment Information
Course(s) Exam Fee (PKR) Upto Due Date Amount (PKR)
Business Communication & Report Writing 3,000 31-May-2022 3,000
Annual Subs. / Activity / ID-Card fee : 0
Total Amount (PKR) : 3,000
Receiver's Signature/Stamp:________________________ Receiving Date:_________________

Finance Copy ASKARI BANK LIMITED Voucher No.: JUN22-03344

Credit : ICMA Pakistan Account # : 32-01-005-7739-6 (Gulistan-e-Johar Branch, Karachi)
Exam Centre: Karachi Voucher Date: 30-May-2022 02:59 PM
Reg.ID: 20213038 Name: ASIF KHAN Contact: 03151006231 Session: JUN22
Payment Information
Course(s) Exam Fee (PKR) Upto Due Date Amount (PKR)
Business Communication & Report Writing 3,000 31-May-2022 3,000
Annual Subs. / Activity / ID-Card fee : 0
Total Amount (PKR) : 3,000

Bank Copy ASKARI BANK LIMITED Voucher No.: JUN22-03344

Credit : ICMA Pakistan Account # : 32-01-005-7739-6 (Gulistan-e-Johar Branch, Karachi)
Exam Centre: Karachi Voucher Date: 30-May-2022 02:59 PM
Reg.ID: 20213038 Name: ASIF KHAN Contact: 03151006231 Session: JUN22
Payment Information Upto Due Date Amount (PKR)
31-May-2022 3,000
Annual Subs. / Activity / ID-Card fee : 0
Total Amount (PKR) : 3,000