Form t3
Form t3
Sir,
I hereby apply for EXEMPTION from undergoing Practical Training based on being employed in
an Orgnaisation having turnover of more than Rs.5 Crore in the previous year as provided in the
Practical Training Scheme of the Institute. The relevant particulars are furnished below:
1. Name in Full_______________________________________________________________
2. Address:__________________________________________________________________
_________________________________________________________________________
Pin Code: _________ State: ____________________ Phone NO_____________________
Email id_____________________________________Mobile No._____________________
3. Student Registration No._____________ 4. Date of Registration_____________________
5. Date of Birth_________________ _______6. Sex ( Male/Female)____________________
7. Caste: General Other Backward Class Scheduled Caste Scheduled Tribe
8. Details of Experience:
(i) Name of the Company:______________________________________________
(ii) Address:_________________________________________________________
(iii) Previous year Turnover _____________________________________________
(iv) Duties performed :_________________________________________________
(v) Date of Joining____________________________________________________
9. Educational Qualification____________________________________________________
10. Professional Qualification____________________________________________________
I remit herewith a sum of Rs.2000/- towards Exemption from Practical Training through a
Demand Draft favoring ‘The Institute of Cost and Works Accountants of India’ payable at New
Delhi . (Details of payment)
I hereby declare that the particulars furnished above are true to the best of my knowledge and
belief. I also hereby undertake to abide by all the rules of the training scheme.
Place___________ Yours faithfully
Date_________ Signature
Please Enclose:
1. An Experience Certificate duly signed by the Competent Authority of the organization in
which you are/were employed.
2. Details of experience with past employers.
3. Detail of Fee of Rs.1000/- deposited towards Training Registration while submitting Form
T-2 with concerned Regional Council/Chapter (Copy of the Form T-2 be attached, if already
registered).