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Z ‘Application Form No: CCAP- CERTIFIED CRISIL Certified Analyst Programme Application for Admission — Batch of 2011 - 2013 Enclose attested copies of all certificates with this form. Bring original Certificates atthe time of interview admission. Enclose a bank draft or cheque of Rs. 1,500)- in favor of CRISIL Limited payable at Mumba No column shouldbe tet blank. Write Not Applicable’ against a column ifthe Latest same dovs not apply toyou, ates ppiytoys Passport Size Tick (¥) the relevantbox wherever provided. Photograph Candidates who have appeared in their final year examination can be In formal attire Considered for admission only if they complete the requirements oftheir final ‘examination by the time ofjoining, Please ensure that you intimate us your CAT//XAT scores along withthe form. Application incompletein any respectis liable tobe rejected Giving false information will lead to cancellation of admission, Last date for receipt of completed form: February 24, 2011 Name: (In block letters, as given in the qualifying degree certificate) Gender: O Male © Female Date of Birth: Nationality: Father's Name: Mother's Name: Permanent Address: Pincode: Correspondence Address: Pincode: Telephone Number with STD Code Mobile Number Email address: Native State to which the applicant belongs: How did you get to know about the programme? 1 Paper advertisement © College Poster 1 CRISILWebsite 1 CRISIL Employee Friend orrelative 1 Intemet Please specify Academic Record: Name of the qualifying degree programme: (BE/B.Tech/B.Com/B.A/B.Sc/ LLB etc.) Discipline (Eg. Electronics, IT, Banking, History, Chemistry etc.) Whether passed or appeared in qualifying examination: 0 Passed Appeared Duration of the programme: Year of passing / appearance’ Name of the Institute & University: Percentage of Marks / Grade Point Average ( Aggregate score) Class XIl Board: Year of passing: Main subjects: Percentage of marks obtained Class X Board: Year of passing Percentage of marks obtained: ‘Awards & Scholarships received: Details of any other qualification / Certifcate Name of the MBA entrance exam taken: CAT ID ~ XAT ID ~ Total Percentile: Sectional Percentiles (Please specify Section names): Do you wish to appear for the CRISIL Aptitude Test? J Yes _ No Preferred Center © Ahmedabad = Bengaluru SJ Bhopal OF Chandigarh Chennai Delhi O Hyderabad = Jaipur = Kolkata Lucknow 1 Mumbai Pune Employment record: Total Work experience in Months: Name of employer(s) Period of Employment Designation & Salary _ Responsibilities ‘Add additional sheets if required Additional details: 1. What are your short term and long term goals? . Why do you wish to enroll in CCAP? What motivated you to apply for CCAP? . What are your strengths and weaknesses? What has been your greatest achievement till date? Preference of Business— 1 Ratings Research 1) Risk Solutions Global Analytical Centre Infrastructure Advisory 0 trevna (Please refer to CRISIL Website to learn more about each business) Reason Payment details: Cheque / DD No Date: Bank Name, Branch ~ Mention form no. & name behind the Cheque / DD ~ Your application is based on the realisation of the cheque Undertaking by candidate: | have gone through the Information Bulletin and the Rules & Regulation of the programme and declare that all above information provided by me on this form are correct to the best of my knowledge and belief. In case of any change in the given information, I will notify the same immediately. Date: Signature: Kindly fil in your correspondence address in all 3 address fields below (IN BLOCK LETTERS) Name: Correspondence Address City: Pincode: State: Contact Number: Form No. Name: Correspondence Address: City Pincode: State Contact Number: FormNo, Name: Correspondence Address: City Pincode: State Contact Number: Form No.