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Self Declaration Form to avail CPE Hours Credit for Unstructured Learning Activities For the Calendar Year____________________ Region________________Name:Membership No:Address:Contact No:E-mail id:Details of Unstructured Learning Activities UndergoneType of ULAsParticularsDetailsTopicDateRequested CPE hoursWeb- basedWeb-based Learning ModulesViewing of programmes hosted on the web channel of ICAISelf-learning *Self-learning Modules and CoursesAudio-tapes/video-tapes.Correspondence puter based learning programmesHome study*Reading and Individual Home Study/reading articles in the Journal Discussion on Technical IssuesGroup or Bilateral Discussion on Technical IssuesActing as FacultyActing as visiting faculty or guest faculty at various Universities/ Management Institutions / Institutions of National Importance Webcast ProgrammesViewing CPE Webcast Programmes without supervision of the POUQuestionnaires/ Journals Providing solutions to questionnaires / puzzles available on Web/ other Professional JournalsInternal Training ProgrammesInternal Training Programmes being organised by firms of Chartered Accountants with seven or more partnersIn-House Training Sessions/ Programmes organised by employersTotal CPE Hours requested* for reading ICAI Journal and other Unstructured Activities undertaken through ICAI Digital Learning Hub, ULA will be updated automatically through , __________________________, (name of the Member) hereby declare that I have undergone the unstructured learning activities as indicated by me in this form above.I also confirm that the information given by me for claiming CPE credit hours for each unstructured activity is correct.Place : Signature of the MemberDate : Note : Members may annex a separate sheet if the given format is not sufficient for filling in complete details Effective from 01-01-2017, the same can submitted online also. Please refer revised Clause 8.D.01 ................
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