FORM NO.

SR-39

APPLICATION FOR ENROLMENT IN PROFESSIONAL PROGRAMME (FINAL COURSE)

The Secretary & CEO The Institute of Company Secretaries of India C-37, Sector-62, Institutional area Noida -201 309
Ph : 4522072 4522073 E-mail : archana.goel@icsi.edu

IMPORTANT : Before filling up the application please visit Institutes website www.icsi.edu and view overall status, incase of any discrepency, updation or modification including change of address is required, please attach a separate letter to enable us to update the records accordingly.

Sir, I wish to seek enrolment for undergoing coaching for the Professional Programme as I have passed both modules (Groups) of the Executive Programme (Intermediate).The relevant information is furnished below :

/
Regn No. First Name (Ms. / Mr.)

Middle Name

Last Name

Details of Passing Intermediate Examination / Executive Programme Group/Module Session Roll No. I II

E-mail:

Mobile No:

Year

Fee Mode :
(Refer code list No. I)

D No./Ack .No./CB/SBS NO

AMOUNT - _________________

Date : Bank Code

: (Refer code list No lI )

Bank Name City : Branch :

(Refer Code List No. III) Subject from

ICWAI

which exemption sought on basis of passing Final exam of

Subject Grant Date (for office use)

Subject Code

Date: For Office use: (To be filled in by the Chapter / Region) Study material issued by______________________ Chapter / Region Signature of student on receiving the Study _______________________

Signature of Student

LIST OF CODES
Code List I FEE MODE CODES DD: Demand Draft BC Cash:Through Pay-in-slip of Canara Bank BS Cash:Through Pay-in-slip of State Bank of Saurashtra CA Cash:Through Reception Receipt Code List II BANK CODES 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Andhra Bank Allahabad Bank ANZ Grindlays Bank Bank of America Bank of India Bank of Baroda Bank of Maharashtra Bank of Tokyo The Bank of Punjab Ltd. Canara Bank Corporation Bank Citi Bank Dena Bank Hongkong & Shanghai Bank Indian Bank Indian Overseas Bank State Bank of India State Bank of Indore State Bank of Travancore State Bank of Bikaner & Jaipur State Bank of Patiala State Bank of Saurashtra Syndicate Bank Punjab National Bank Vijaya Bank Standard Chartered Bank Union Bank of India Punjab & Sind Bank Bank of Rajasthan Vysya Bank United Bank of India United Commercial Bank ABN Amro Bank State Bank of Mysore Oriental Bank of Commerce State Bank of Hyderabad Central Bank of India Karnataka Bank HDFC Bank ICICI Bank IDBI Bank UTI Bank Times Bank Deutsche Bank Swan Bank Delhi State Cooperative Bank 47 Vaish Cooperative Bank 48 Bank of Madurai 49 UCO Bank 50 The South Indian Bank Ltd. 51 The Federal Bank Ltd. 52 The Lakshmi Vilas Bank Ltd. 53 Bharat Overseas Bank Ltd. 54 The Catholic Syrian Bank Ltd. 55 Tamilnad Mercantile Bank Ltd. 56 Reserve Bank of India 57 City Union Bank Ltd. 58 The Tamil Nadu State Apex Co-Op Bank Ltd. 59 The Delhi State Co-Op Bank Ltd. 60 The Janalaxmi Co-Op Bank Ltd. 61 The Karur Vysya Bank Ltd. 62 Global Trust Bank Ltd. 63 The General Co-Op Bank Ltd. 64 The Sangli Bank Ltd. 65 Lord Krishna Bank Ltd. 66 The United Western Bank Ltd. 67 The Nedungadi Bank Ltd. 68 Indusind Bank Ltd. 69 The Karnataka Bank Ltd. 70 Kanaka Durga Grameena Bank 71 The Dhanlakshmi Bank Ltd. 72 Bareilly Corporation Bank Ltd. 73 Bombay Mercantile Co-Op Bank Ltd. 74 Centurion Bank 75 The Saraswat Co-Op Bank Ltd. 76 Anyonya Sahayakari Mandali Co-Op Bank 77 The Nainital Bank Ltd. 78 Purshottam Kanji Exchange Co. Ltd. 79 The National Bank of Baharain 80 The Sakura Bank Ltd. 81The Jammu & Kashmir Bank Ltd. 82 Credit Agripole Indosuez 83 The Benares State Bank Ltd. 84 American Express 85 Ghaziabad Zila Sahakari Bank Ltd. 86 The Bank of Nova Scotia 87 The Sanwa Bank Ltd. 88 Oman International Bank 89 Development Credit Bank Ltd. 90 The Delhi Nagrik Sehkari Bank 91 Jain Co-Op Bank Ltd. 92 Society Generale 93 The Bank of Tokyo Mitsubishi Ltd. 94 Oman Arab Bank S.A.O.C. 95 Madhya Pradesh Rajya Sahakari Bank 96 Indore Swam Siddh Mahila CoOp Bank 97 The Sarvodya Sahakari Bank Ltd. 98 The Vyavsayil Sahakari Bank Ltd. 99 Other Bank Code List III SUBJECT CODES Professional Programme- New Syllabus Module - I 231 Company Secretarial Practice 232 Drafting, Appearances and Pleadings Module II 233 Financial Treasury & Forex Management 234 Corporate Restructuring & Insolvency Module III 235 Strategic Management, Alliances & International Trade 236 Advanced Tax Laws and Practice Module IV 237 Due Diligence & Corporate Compliance Management 238 Governance, Business Ethics and Sustainability Final Old Syllabus Group I 131 Advanced Company Law & Practice 132 Secretarial Practice relating to Economic Laws & Drafting & Conveyancing 133 Secretarial, Management & Systems Audit Group II 134 Financial, Treasury & Forex Management 135 Corporate Restructuring Law & Practice 136 Banking & Insurance Law & Practice Group III 137 WTO-International Trade, Joint Ventures & Foreign Collaborations 138 Direct & Indirect Taxes Law & Practice 139 Human Resource Management & Industrial Relations