The Institute of Chartered Accountants of India

POST QUALIFICATION COURSE IN INSURANCE AND RISK MANAGEMENT

Technical Examination, June, 2014

(Under Regulation 204 of the Chartered Accountants Regulations, 1988)

Last Date : 24th February, 2014 (Without late fee) Cost of Application Form : Rs100/3rd March, 2014 (With late fee of ` 500/-) NOTES FOR INFORMATION AND GUIDANCE OF APPLICANTS
Candidates are advised to carefully read, understand and follow the
(1) (2) (3) Dates of Examination Timings of Examination Subject : Module - I Module - II Module - III Module - IV Last date for receipt of application at the Institute's Headquarters at New Delhi. 3rd, 5th, 7th and 9th June, 2014 2.00 p.m. to 5.00 p.m. (IST) 1 Principles and Practice of Insurance Technical Aspects of Insurance Risk Management and Reinsurance Business Strategic Planning & Information Technology
24th February, 2014 (Without late fee) 3rd March, 2014 (With late fee) (Application received after 3rd March, 2014 will not be entertained under any circumstances. Therefore, candidates sending their application by Post must send the same at least 3-4 days in advance of the last date and avoid sending it on the last date for receipt of application forms).

(4)

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Examination Fee (Note : Candidates are advised not to send any fee other than examination fee along with the Examination Application Form) Mode of Payment of Fee

1000/- (Rupees One Thousand Only) without Late Fee 1500/ (Rupees One Thousand Five Hundred Only) with Late Fee 100/- (Rupees One Hundred Only) extra if the examination form is downloaded from Institute's website. The Examination Fee should be paid only by way of Demand Draft which may be of any Scheduled Bank. Drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" and should be payable at New Delhi only. Candidates are advised to furnish the following details on the reverse of the Demand Draft in their own interest. Name IRM Registration No. Examination Application form No. Centre Opted the Examination Department alongwith the examination form.

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(7) (8)

Filling up of Admit Card Examination Centres

1. Agra 2. Ahmedabad 3. Ahmednagar 4. Ajmer 5. Akola 6. Alappuzha 7. Aligarh 8. Allahabad 9. Alwar 10. Ambala 11. Amravati 12. Amritsar 13. Anand 14. Asansol 15. Aurangabad 16. Bangalore 17. Bareilly 18. Bathinda 19. Beawar 20. Belgaum 21. Bellary 22. Berhampore 23. Bharuch 24 Bharatpur 25. Bhavnagar 26. Bhilwara 27. Bhiwani 28. Bhopal 29. Bhubaneswar 30. Bhuj 31. Bikaner 32. Bilaspur 33. Chandigarh 34. Chennai 35. Chittorgarh 36. Coimbatore 37. Cuttack 38. Dehradun 39. Delhi/New Delhi 40. Dhanbad 41. Durg 42. Durgapur 43. Ernakulam 44. Erode 45. Faridabad 46. Fatehabad 47. Gandhidham 48. Gandhinagar 49. Ghaziabad 50. Gorakhpur 51. Guntur 52. Gurgaon 53. Guwahati 54. Gwalior 55. Hisar 56. Hubli 57. Hyderabad 58. Indore 59. Jabalpur 60. Jaipur 61. Jalandhar 62. Jalgaon 63. Jammu 64. Jamnagar 65. Jamshedpur 66. Jhansi 67. Jind 68. Jodhpur 69. Jhunjhunu 70.. Kaithal 71. Kakinada 72. Kannur 73. Kanpur 74. Karnal 75. Karimnagar 76. Kishangarh 77. Kolhapur 78. Kolkata 79. Kollam 80. Kota 81. Kottayam 82. Kozhikode 83. Kumbakonam 84. Kurnool 85. Latur 86. Lucknow 87. Ludhiana 88. Madurai 89. Mangalore 90. Mapusa (Goa) 91. Margao (Goa) 92. Mathura 93. Meerut 94. Moradabad 95. Mumbai 96. Muzaffarnagar 97. Mysore 98. Nagpur 99. Nanded 100. Nashik 101. Navsari 102. Nellore 103. Neemuch 104. Noida 105. Palghat 106. Pali Marwar 107. Panipat 108. Panvel 109. Patna 110. Patiala 111. Pimpri-Chinchwad 112. Pondicherry 113. Pune 114. Raipur 115. Rajamahendravaram 116. Rajkot 117. Ranchi 118. Ratlam 119. Rewari 120. Rohtak 121. Rourkela 122. Saharanpur 123. Salem 124. Sambalpur 125. Sangli 126. Sangrur 127. Satara 128. Shimla 129. Sikar 130. Siliguri
131. Sirsa 132. Sivakasi 133. Solapur 134. Sonepat 135. Sri Ganganagar 136. Srinagar 137. Surat 138. Surendranagar 139. Thane 140. Thiruvananthapuram 141. Thrissur 142. Tinsukia 143. Tiruchirapalli 144. Tirupati 145. Tirupur 146. Tuticorin 147. Udaipur 148. Udupi 149. Ujjain 150. Vadodara 151. Vapi 152. Varanasi 153. Vellore 154. Vijayawada 155. Visakhapatnam 156. Warangal 157. Yamuna Nagar

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How the application form should reach the Institute?

The application form together with Demand Draft for `1000/- or `1500/-, as the case may be, of any Scheduled Bank be sent by Speed Post / Registered Post Only in the special envelope attached to this Form to the Additional Secretary (Exams.), The Institute of Chartered Accountants of India, ICAI Bhawan, Indraprastha Marg, New Delhi-110 002. Candidates are advised not to send the application through courier. Institute.

(10)

A list of candidates eligible to appear for IRM Course Technical Examination June, 2014 will be hosted by the Committee on Banking, Insurance and Pension on the Website of the Institute www.icai.org Institute of Chartered Accountants of India, Indraprastha Marg, New Delhi - 110 002 so as to Candidates may submit the Examination Application Form, pending receipt of Eligibility

Special Note: There will no change in the examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government.

(11) Admission to the IRM Technical Examination

No. candidate shall be admitted to the IRM Technical Examination unless Insurance and Pension of the Institute.

(12) Issue of Admit Card

(a)

A list of Candidates to whom the Admit Cards have been issued for the IRM Course Technical Examination will be hosted on the Institute's website www.icai.org. from 5th May, 2014. All correspondences in the above matter should be addressed to the Additional Secretary (Exams.) of the Institute at New Delhi quoting the following for prompt action. IRM Regn. No. Examination Application Form No. Receipt No. Issued (if any) Name of the Centre Opted Telephone No. Fax No. E-mail C-1, Sector-1, Noida should be contacted on Fax No. 0120-3054841 and 3054843.or on E-mail. : [email protected] Helpline Desk telephone Nos. 0120-3054851, 3054852, 3054853, 3054854 3054836 and 3054842

(b)

(13) Record of answer book tendered at the Examination Centre.

The Superintendents of Examination Centres are being advised to issue receipt for the answer books handed over through the Invigilator in the Admit Card. Candidates are, therefore, advised to secure the signature of the Invigilator concerned while submitting their answer books and retain the Admit Card with themselves as record of receipt, at least till the declaration of result.

(14) Requirement for passing the IRM Technical Examination

A candidate for the Insurance and Risk Management Technical Examination shall be declared ordinarily to have passed the examination if he / she secures at one sitting a minimum of 40% marks in each of the papers and 50% marks in the aggregate of all the papers. Statement of Marks will be issued to all the candidates who appeared in IRM Technical Examination normally in two weeks' time from the date of declaration of result.

(15) Issue of Statement of Marks

(16) Check-list to ensure correctness of enclosures to the Application

giving all the required details and the following enclosures are annexed securely. Demand Draft for ........................................ Application Form Admit Card with self attested photo Self-addressed Envelope for sending Admit Card. Self addressed envelope for sending statement of marks. Address Slip Before sending the application, candidates are requested to arrange serially the pages of application keeping the demand draft, admit card and envelopes on the Top of the Bunch.

(17)

After declaration of result, a candidate may, if he/she so desires, apply for verification of his/her answer book(s), necessarily in his/her own handwriting within one month from the date of declaration of result. The verification fee is ` 500/-payable by way of a demand draft drawn in favour of Secrectary, The Institute of Chartered Accountants of India, payable at New Delhi. There is no standard application form for verification. Typewritten request will not be entertained. The fee once paid by a candidate shall not be refunded / adjusted under any circumstances except where a candidate applies to the Additional Secretary (Exams) for the transfer of fee to the next Examination only, on the ground that he/she was prevented from attending the Examination on account of circumstances beyond his/her control and provided that application to this effect is not received after fifteen days of the date of the Examination.

(18) Refund of fee

PLEASE NOTE: a) Application should be complete in all respects, otherwise it is liable to be rejected. b) In the event of furnishing any incorrect information / misrepresentation, the admission shall become invalid. c) No correspondence in this regard shall be entertained.

INSURANCE AND RISK MANAGEMENT

Control No. Roll No.
POST QUALIFICATION COURSE IN Insurance and Risk Management Technical Examination, June, 2014
Self Attested Passport Size LATEST PHOTOGRAPH to be pasted here. (Please do not staple)

The Institute of Chartered Accountants of India

I. DEMAND DRAFT DETAILS
D D MM 1) DATE 2) AMOUNT (Rupees) 3) DRAWEE BANK 4) DEMAND DRAFT NO. 5) PAYABLE AT N EW D E L H I Downloaded Form YEAR

(Specimen Signature of the Candidate)

Without Late Fee With Late Fee

II.

APPLICANT DETAILS (IN BLOCK LETTERS)

1) NAME (MR/MS.) : (as appearing on 2) FATHER'S NAME (Shri) of Membership) Attach a 3) CITY OF YOUR PROFESSIONAL ADDRESS 4) MEMBERSHIP NO. 6) IRM REGISTRATION NO. 7) CENTRE OPTED D D MM 8) ELIGIBILITY CERT. NO. 9) ADDRESS FOR COMMUNICATION (IN BLOCK LETTERS) & DATE OF ISSUE YEAR D I R M / / 5) GENDER MALE FEMALE

CITY STATE TEL. : STD CODE NUMBER MOBILE NO. 0 10) E-MAIL ADDRESS

PIN

I request for permission to present myself for the Insurance and Risk Management Course Technical Examination to be held in June, 2014 conducted by the Institute of Chartered Accountants of India. I solemnly affirm that the above facts and information are complete and correct to the best of my knowledge and belief. I also undertake to abide by the Chartered Accountants Regulations, 1988 framed by the Council for the guidance of candidates appearing for the Insurance and Risk Management Technical Examination.

Encls.: 1. Demand Draft. Yes No 2. Copy of evidence of membership. Yes 3. Admit Card Proforma. Yes No 4. Envelope for Admit Card. Yes No 5. Envelope for Statement of Marks. Yes 6. Address slip. Yes No

No (Full Signature of Candidate) No Date.......................................... P.T.O.

HOW TO FILL-IN FORM

I. 1. 2. Kindly write the date of issue of demand draft. Write amount of fee paid. Please also ( ) the relevant box. (Fee is `1000/- without late fee and `1500/- with late fee. Please add `100/- if the form is downloaded from the Institute's website). Write name of the Bank. Write number of the Demand Draft. Demand Draft should be drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" and payable at New Delhi only. Kindly write your name exactly as recorded in the Register of Members i.e. Membership Certificate.. Write the name of your father exactly as appearing in the Membership Certificate. Married female members are to write Father's Name only. Write the name of the place you belong to. The same will appear on the pass certificate issued to all the pass candidates. Write your membership number. Kindly take special care to write your correct membership number. Tick the appropriate box. Supposing your registration number is DIRM/S/00718, Fill in like : D I R M / S / 0 0 7 1 8 7. Write the name of a city from amongst the list of centres as given in Col.8 of "Notes for Information and Guidance of Applicants: from where you wish to write the IRM Technical Examination. Write the No. and Date of Eligibility Certificate, as recorded on the Eligibility Certificate issued to you by the Committee on Banking, Insurance and Pension. Write your complete postal address, very clearly in Capital Letters for mailing Admit Card, Pass Certificate, Correspondence, if any.

3. 4. 5. II. 1. 2. 3. 4. 5. 6.

8. 9.

10. Write your E-mail address for our records / use. 11. Write your Phone No. also under your address in column No.9 Enclosures : Please attach (i) demand draft (ii) copy of evidence of being a member of ICAI (iii) Admit card proforma (iv) Envelope for Admit Card (v) Envelope for Statement of Marks and (vi) Address Slips. Please tick in relevant boxes.

Address Slip
(Please fill in Name & Address)

Address Slip
(Please fill in Name & Address)

THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA

(Examination Department)

ICAI Bhawan, Indraprastha Marg, New Delhi - 110 002

IRM

LATEST PHOTO ONLY

self attested photograph which should be pasted in this space and not merely stapled.

ADMIT CARD (DUPLICATE)

IRM TECHNICAL EXAMINATION-JUNE, 2014

Roll No.

Name of the Candidate ......................................................................................... Membership No. ................................................................................................... I.R.M. Regn. No. .................................................................................................. Centre : City : ....................................................................................................... Specimen Signature of the Candidate .................................................................. Venue of the examination :

Additional Secretary (Exams.) The Institute of Chartered Accountants of India

THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA

(Examination Department)

ICAI Bhawan, Indraprastha Marg, New Delhi - 110 002

IRM

LATEST PHOTO ONLY

self attested photograph which should be pasted in this space and not merely stapled.

ADMIT CARD
IRM TECHNICAL EXAMINATION-JUNE, 2014

Roll No.

Name of the Candidate ......................................................................................... Membership No. ................................................................................................... I.R.M. Regn. No. .................................................................................................. Centre : City : ....................................................................................................... Specimen Signature of the Candidate .................................................................. Venue of the examination :

Additional Secretary (Exams.) The Institute of Chartered Accountants of India

Record of Answer Books tendered at the examination centre

Day & Date of Examination Afternoon Session (2.00 p.m. to 5.00 p.m.) (IST) Tuesday 3rd June, 2014 Thursday 5th June, 2014 Saturday 7th June, 2014 Monday 9th June, 2014 IRM Technical Examination Papers Module-I Principles and Practice of Insurance Module-II Technical Aspects of Insurance Module-III Risk Management and Reinsurance Module-IV Business Strategic Planning & Information Technology Name of the Invigilator Signature of the Invigilator in confirmation of receipt of answer book

Special Note: There will be no change in the examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government.

Record of Answer Books tendered at the examination centre

Day & Date of Examination Afternoon Session (2.00 p.m. to 5.00 p.m.) (IST) Tuesday 3rd June, 2014 Thursday 5th June, 2014 Saturday 7th June, 2014 Monday 9th June, 2014 IRM Technical Examination Papers Module-I Principles and Practice of Insurance Module-II Technical Aspects of Insurance Module-III Risk Management and Reinsurance Module-IV Business Strategic Planning & Information Technology Name of the Invigilator Signature of the Invigilator in confirmation of receipt of answer book

Special Note: There will be no change in the examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government.

Statement of Marks

SPEED POST
for 39/or as applicable for speed post from New Delhi to your place

IRM

To

Pin

If undelivered please return to :

The Additional Secretary (Examinations)

The Institute of Chartered Accountants of India

"ICAI Bhawan", Indraprashta Marg

New Delhi - 110 002

SPEED POST
for 39/or as applicable for speed post from New Delhi to your place

Admit Card - Insurance and Risk Management Technical Examination June, 2014

To

City

Pin

State

The Additional Secretary (Examinations)

The Institute of Chartered Accountants of India

"ICAI Bhawan", Indraprashta Marg, New Delhi - 110 002

SPEED POST / REGISTERED

To

IRM

The Additional Secretary (Examinations)

The Institute of Chartered Accountants of India

ICAI Bhawan Indraprastha Marg New Delhi - 110 002

From :