REVISED SYLLABUS -- 2008
Please put your correct registration number. Once the filled up form is submitted online you can't edit it or submit another form under the same registration number. Photo and signature upload is mandatory at next page. Please get ready with scanned photo and signature.
Please take the printout after completing 3rd step.
THE INSTITUTE OF COST ACCOUNTANTS OF INDIA
12, SUDDER STREET, KOLKATA - 700016
INTERMEDIATE
APPLICATION FORM FOR THE EXAMINATION OF JUNE 2012
LAST TERM OF EXAMINATION APPEARED
Student Examination Form
Registration Number:
10 digit must e.g. ERR/000231		 * Old_Registration_No(if_any):
e.g. WRS/000231 		 
Name (under 40 character): * Gender : *
Add-1 (under 40 character) : * Add-2 (under 40 character) :  
Add-3 (under 40 character) :   City Name : *
PIN : * Mobile No :  
PHONE :   With STD code without leaving any space E-mail :  
CASTE : * PHYSICALLY CHALLENGED :  
DATE_OF_BIRTH : * DD
 MM
  YYYY
 QUALIFICATION :  
EXAM CENTER CODE : *    
MEDIUM:   GROUP : *
MODE_OF_COACHING:   COACHING COMPLETION
CERTIFICATE NO :		  
VALID UPTO :        

PAYMENT DETAILS
PAYMENT SHOULD BE MADE BY DEMAND DRAFT ONLY
D.D. NO:*
D.D. DATE :*

 DD

 MM
 YYYY
AMOUNT (with late fees):*
     
 # For online submission of form additional 50/- not to be paid
DRAWN ON BANK :*
BRANCH NAME
PAYABLE AT KOLKATA
DETAILS OF EXAMINATION PASSED
DETAILS OF EXEMPTION
 
INTERMEDIATE
 
GROUP I
GROUP II
TERM
ROLL
SUBJECT
CODE
BY
QUALIFI-
CATION
BY EXAMINATION
EXEMPTION
CARRY_FORWARD
TERM
ROLL
TERM
ROLL
DECLARATION

I DECLARE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION GIVEN ABOVE ARE 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 APPLICATION/WITHHOLD MY RESULT. I ALSO UNDERTAKE TO ABIDE BY THE REGULATIONS FRAMED BY THE COUNCIL FOR THE GUIDANCE TO THE CANDIDATES APPEARING FOR THE EXAMINATION.

NOTE :
  • 1. PLEASE READ INSTRUCTIONS BEFORE FILLING UP THE FORM
  • 2. INCOMPLETE FORMS WILL BE REJECTED
  • 3. FORM SUBMITTED AFTER THE LAST DATE WILL NOT BE CONSIDERED FOR THE EXAMINATION
  • 4. THE STUDENTS ARE ADVISED TO GO THROUGH THE "CONDITIONS FOR APPEARING IN THE EXAMINATION" ISSUED BY  THE DIRECTORATE OF STUDIES AND STUDENTS WILL NOT BE ALLOWED TO APPEAR FOR EXAMINATION UNTIL ALL CONDITIONS ARE FULFILLED.
  • 5. * MARKED FIELDS ARE MANDATORY FIELD.

    •   READ THE INSTRUCTIONS SHEET
      READ CENTER INFORMATION

    		  STEP 1 OF 3