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ADPForm

This 3 sentence summary provides the key details about an enrollment form for an academic development program for students: The form collects information such as the student's name, registration number, qualifications, contact details, ICSI examination details, company/firm where undergoing training, and details of fees paid. It requests a recent passport size photograph and signature of the student. The form is to enroll for an academic development program organized by the Institute of Company Secretaries of India located in New Delhi, India.

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Surbhi Sarna
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47 views1 page

ADPForm

This 3 sentence summary provides the key details about an enrollment form for an academic development program for students: The form collects information such as the student's name, registration number, qualifications, contact details, ICSI examination details, company/firm where undergoing training, and details of fees paid. It requests a recent passport size photograph and signature of the student. The form is to enroll for an academic development program organized by the Institute of Company Secretaries of India located in New Delhi, India.

Uploaded by

Surbhi Sarna
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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4, Prasad Nagar Institutional Area, New Delhi -110005

Tel : 011-25763090 / 7190, E-mail : [email protected]


Enrolment Form for
Academic Development Program for Students
1. Name of Student : ……………………………………………

2. Registration No : …………………………………………… Affix your recent


passport size
3. Qualification : a) Academic :…………………………… photograph
b) Professional: …………………………

4. Mailing Address :…………………………………………….


……………………………………………
…………………………………………….

5. Telephone No : Res :……………………..Off : ……………….


Mobile : ………………………………………..

6. E-mail : …………………………………………………..

7. Particulars of ICSI’s Examination Passed :


Stage of Examination Session of Roll No.
Passing the
examination
Inter Group-I/Executive Module I
Inter Group-II/ Executive Module I
Final Group-I/Professional I
Final Group-II/Professional II
Final Group-III/Professional III
Professional IV

8. Name of the Company / Firm where you are undergoing Management Training /
Apprenticeship Training :

9. Particulars of the fees Paid :

Date : ( Signature of Student )

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