QUIZ CONTEST 2012 registration form web.pdf - Udaipur Branch Of ...

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PHONE : 0294-2641616, 2641515, EMAIL : [email protected] TEAM REGISTRATION FORM FOR QUIZ CONTEST. Member No. 1. Member No. 2. NAME OF ...

UDAIPUR BRANCH OF CIRC OF ICAI ICAI BHAWAN, G-BLOCK, SECTOR-14, HIRANMAGRI, UDAIPUR-313001 PHONE : 0294-2641616, 2641515, EMAIL : [email protected]

TEAM REGISTRATION FORM FOR QUIZ CONTEST

AFFIX YOUR LATEST PASSPORT SIZE

AFFIX YOUR LATEST PASSPORT SIZE

COLOUR PHOTO

COLOUR

Member No. 1

PHOTO

Member No. 2

NAME OF MEMBER

REGISTRATION NO. WITH ICAI COURSE FOR WHICH REGISTERED

FATHER’S NAME DATE OF BIRTH ADDRESS

PHONE & CELL NO. EMAIL ID

We declare that the above information is true and correct and we have read the rules and regulations of quiz contest and we shall abide by the same. We also declare that we are not qualified in the final examination of ICAI. Further, we have read the rules and regulations of quiz contest and we shall be abide by the same.

(Signature of Member No. 1)

(Signature of Member No. 1)

Date : Place : Note: Please attach a copy of Registration letter from ICAI.