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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

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 :

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Regn No.

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(Refer code list No lI )

| Subject Code | Subject | Grant Date (for office use) |

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Date: Signature of Student

For Office use: (To be filled in by the Chapter / Region)

Study material issued by______________________ Chapter / Region

Signature of student on receiving the Study _______________________

|Code List I | | |

| |47 Vaish Cooperative Bank |Code List III |

|FEE MODE CODES |48 Bank of Madurai | |

| |49 UCO Bank |SUBJECT CODES |

|DD: Demand Draft |50 The South Indian Bank Ltd. | |

| |51 The Federal Bank Ltd. |Professional Programme- New Syllabus |

|BC Cash:Through Pay-in-slip of |52 The Lakshmi Vilas Bank Ltd. |Module - I |

|Canara Bank |53 Bharat Overseas Bank Ltd. |231 Company Secretarial Practice |

|BS Cash:Through Pay-in-slip of |54 The Catholic Syrian Bank Ltd. |232 Drafting, Appearances and Pleadings |

|State Bank of Saurashtra |55 Tamilnad Mercantile Bank Ltd. |Module – II |

|CA Cash:Through Reception |56 Reserve Bank of India |233 Financial Treasury & Forex Management |

|Receipt |57 City Union Bank Ltd. |234 Corporate Restructuring & Insolvency |

| |58 The Tamil Nadu State Apex |Module – III |

|Code List II |Co-Op Bank Ltd. |235 Strategic Management, Alliances & |

| |59 The Delhi State Co-Op Bank Ltd. |International Trade |

|BANK CODES |60 The Janalaxmi Co-Op Bank Ltd. |236 Advanced Tax Laws and Practice |

| |61 The Karur Vysya Bank Ltd. |Module – IV |

|01 Andhra Bank |62 Global Trust Bank Ltd. |237 Due Diligence & Corporate Compliance |

|02 Allahabad Bank |63 The General Co-Op Bank Ltd. |Management |

|03 ANZ Grindlays Bank |64 The Sangli Bank Ltd. |238 Governance, Business Ethics and |

|04 Bank of America |65 Lord Krishna Bank Ltd. |Sustainability |

|05 Bank of India |66 The United Western Bank Ltd. | |

|06 Bank of Baroda |67 The Nedungadi Bank Ltd. |Final – Old Syllabus |

|07 Bank of Maharashtra |68 Indusind Bank Ltd. |Group – I |

|08 Bank of Tokyo |69 The Karnataka Bank Ltd. |131 Advanced Company Law & Practice |

|09 The Bank of Punjab Ltd. |70 Kanaka Durga Grameena Bank |132 Secretarial Practice relating to Economic |

|10 Canara Bank |71 The Dhanlakshmi Bank Ltd. |Laws & Drafting & Conveyancing |

|11 Corporation Bank |72 Bareilly Corporation Bank Ltd. |133 Secretarial, Management & Systems |

|12 Citi Bank |73 Bombay Mercantile Co-Op Bank |Audit |

|13 Dena Bank |Ltd. |Group II |

|14 Hongkong & Shanghai |74 Centurion Bank |134 Financial, Treasury & Forex |

|Bank |75 The Saraswat Co-Op Bank Ltd. |Management |

|15 Indian Bank |76 Anyonya Sahayakari Mandali |135 Corporate Restructuring –Law & Practice |

|16 Indian Overseas Bank |Co-Op Bank |136 Banking & Insurance Law & Practice |

|17 State Bank of India |77 The Nainital Bank Ltd. |Group III |

|18 State Bank of Indore |78 Purshottam Kanji Exchange Co. |137 WTO-International Trade, Joint Ventures |

|19 State Bank of Travancore |Ltd. |& Foreign Collaborations |

|20 State Bank of Bikaner & |79 The National Bank of Baharain |138 Direct & Indirect Taxes – Law & Practice |

|Jaipur |80 The Sakura Bank Ltd. |139 Human Resource Management & |

|21 State Bank of Patiala |81The Jammu & Kashmir Bank Ltd. |Industrial Relations |

|22 State Bank of Saurashtra |82 Credit Agripole Indosuez | |

|23 Syndicate Bank |83 The Benares State Bank Ltd. | |

|24 Punjab National Bank |84 American Express | |

|25 Vijaya Bank |85 Ghaziabad Zila Sahakari Bank | |

|26 Standard Chartered Bank |Ltd. | |

|27 Union Bank of India |86 The Bank of Nova Scotia | |

|28 Punjab & Sind Bank |87 The Sanwa Bank Ltd. | |

|29 Bank of Rajasthan |88 Oman International Bank | |

|30 Vysya Bank |89 Development Credit Bank Ltd. | |

|31 United Bank of India |90 The Delhi Nagrik Sehkari Bank | |

|32 United Commercial Bank |91 Jain Co-Op Bank Ltd. | |

|33 ABN Amro Bank |92 Society Generale | |

|34 State Bank of Mysore |93 The Bank of Tokyo Mitsubishi | |

|35 Oriental Bank of |Ltd. | |

|Commerce |94 Oman Arab Bank S.A.O.C. | |

|36 State Bank of Hyderabad |95 Madhya Pradesh Rajya Sahakari | |

|37 Central Bank of India |Bank | |

|38 Karnataka Bank |96 Indore Swam Siddh Mahila Co- | |

|39 HDFC Bank |Op Bank | |

|40 ICICI Bank |97 The Sarvodya Sahakari Bank Ltd. | |

|41 IDBI Bank |98 The Vyavsayil Sahakari Bank Ltd. | |

|42 UTI Bank |99 Other Bank | |

|43 Times Bank | | |

|44 Deutsche Bank | | |

|45 Swan Bank | | |

|46 Delhi State Cooperative Bank | | |

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IMPORTANT : Before filling up the application please visit Institute’s website 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.

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Subject from which exemption sought on basis of passing Final exam of ICWAI

LIST OF CODES

(Refer Code List No. III)

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