Application for Release of Increment /Reimbursement of Exam Fees On

Qualifying JAIIB/CAIIB

NAME
STAFF NO
DESIGNATION
BRANCH /OFFICE

NO OF ATTEMPTS TAKEN FOR

COMPLETION

*Please note that an employee has to qualify the examination within the first two
consecutive attempts to be eligible for 50% Exam Fee & Cost of Books Reimbursement.
Re enrolling for the examination after the expiry of the first two chances, shall not be
considered for Book Cost/ Exam Fee reimbursement.

DATE OF ENROLLMENT FOR THE EXAM

WHETHER QUALIFIED IN FIRST/
SECOND ATTEMPT

DATE OF PASSING (Fill in which ever is applicable)

JAIIB
CAIIB

Following details are to be filled if claiming for Exam Fee / Book Cost reimbursement on
qualifying the examinations in first two attempts.

Examination Fees Paid Rs.

(Attach print out of the Fee paid Receipt)
Cost Of Books Rs.
(Attach Original Bills)

Enclosures:
1. Consolidated Mark list of JAIIB/CAIIB.
2. Digitally verified Copy of the JAIIB/CAIIB Certificate issued by IIBF .
3. Original Bills for Purchase of Text Books/ Print out of Exam Fee Payment Receipt.
4. Online transaction details (It will be considered as an attempt even if the employee does
not appear for the examination after the remittance of Exam Fees) from IIBF Website.

I hereby declare that I have stated above is true and correct. In case any of the details
furnished above are not found correct at a later date, I am aware that I shall be held
responsible for the same.

SIGNATURE OF THE EMPLOYEE

PLACE :
DATE :

NOTE: ALL THE DOCUMENTS ARE TO BE CERTIFIED/ ATTESTED BY BRANCH HEAD WITH ORIGINAL
BEFORE FORWARDING.