Advisory
Self-Declaration Form to avail CPE Hours Credit for Unstructured Learning Activities
For the Calendar Year 2014
Name:
Membership No.:
Address:
Contact No.
E-mail id:
Details of Unstructured Learning Activities Undergone
|Type of ULAs |Particulars |Details |
| | |Topic |Date |Requested CPE hours|
| |Web-based Learning modules | | | |
|Web-based | | | | |
| |Self-learning Modules and Courses | | | |
|Self-learning |Audio-tapes/video-tapes. | | | |
| |Correspondence courses. | | | |
| |Computer based learning programmes | | | |
| |Reading and Individual Home Study | | | |
|Home study | | | | |
| |Group or Bilateral Discussion on | | | |
|Discussion on |Technical Issues | | | |
|Technical Issues | | | | |
| | | | | |
| |Acting as visiting faculty or | | | |
|Acting as Faculty|guest faculty at various | | | |
| |Universities / Management | | | |
| |Institutions / Institutions of | | | |
| |National Importance | | | |
| |Participation in CPE | | | |
|Teleconferencing |Teleconferencing Programmes | | | |
|Programmes |without supervision of the POU | | | |
| | | | | |
| |Providing solutions to | | | |
|Questionnaires/Jo|questionnaires / puzzles | | | |
|urnals |available on Web / Professional| | | |
| |Journals | | | |
| |Internal Training Programmes | | | |
|Internal Training|being organised by firms of | | | |
|Programmes |Chartered Accountants with | | | |
| |seven or more partners | | | |
|Total CPE Hours requested | |
Undertaking
I, ( ), 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: Kanpur
Signature of the Member
Date:
Note: Members may annex a separate sheet if the given format is not sufficient for filling in complete details.
Annexure –A
Home Study- Reading and Individual Home Study
|Topic |Date |Requested CPE hours |
| | | |
| | | |
| | | |
| | | |
|TOTAL | |
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