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8/13/2019 32122 Exam 22194
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The Institute of Chartered Accountants of India
POST QUALIFICATION COURSE IN INSURANCE AND RISK MANAGEMENT
Technical Examination, June, 2014(Under Regulation 204 of the Chartered Accountants Regulations, 1988)
Cost of Application Form : 100/-RsLast Date : 24th February, 2014 (Without late fee)3rd March, 2014 (With late fee of ` 500/-)
NOTES FOR INFORMATION AND GUIDANCE OF APPLICANTSCandidates are advised to careful ly r ead, understand and foll ow the
Dates of Examination(1)
1Principles and Practice of InsuranceTechnical Aspects of Insurance
Risk Management and ReinsuranceBusiness Strategic Planning & Information Technology
24th February, 2014 (Without late fee)3rd March, 2014 (With late fee)
(Application received after 3rd March, 2014 will not be entertained under any circumstances.Therefore, candidates sending their application by Post must send the same at least 3-4 days inadvance of the last date and avoid sending it on the last date for receipt of application forms).
3rd, 5th, 7th and 9th June, 2014
Timings of Examination(2) 2.00 p.m. to 5.00 p.m. (IST)
Subject :Module - IModule - IIModule - IIIModule - IV
Last da te for receipt ofapplication at the Institute'sHeadquarters at New Delhi.
(3)
(4)
1000/- (Rupees One Thousand Only) without Late Fee 1500/ (Rupees One Thousand Five Hund red Only) with Late Fee 100/- (Rupees One Hundred Only) extra if the examination form is downloaded from Institut e's website.
Examination Fee(Note : Candidates are advised not to send any fee other thanexamination fee along with theExamination Application Form)
(5)
The Examination Fee should be paid only by way of Demand Draft which may be of anyScheduled Bank.
Drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" andshould be payable at New Delhi only.Candidates are advised to furnish the following details on the reverse of the Demand Draft intheir own interest.
NameIRM Registration No.Examination Application form No.Centre Opted
Mode of Payment of Fee(6)
the Examination Department alongwith the examination form.
Filling up of Admit Car d(7)
The application form together with Demand Draft for `1000/- or `1500/-, as the case may be, ofany Scheduled Bank be sent by Speed Post / Registered Post On ly in the special envelopeattached to this Form to the Additional Secretary (Exams.), The Institute of CharteredAccountan ts of India, ICAI Bhawan, Indr apr astha Mar g, New Delhi-110 002.
Candidates are advised not to send the application through courier.
Institute.
How the application formshould reach the Institute?
(9)
A list of candidates eligible to appear for IRM Course Technical Examination June, 2014will be hosted by the Committee on Banking, Insurance and Pension on the Website of theInstitute www.icai.org
Institute of Chartered Accountants of India, Indraprastha Marg, New Delhi - 110 002 so as to
Candidates may submit the Examination Application Form, pending receipt of Eligibility
(10)
Special Note: There will no change in the examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government .
Examination Centres(8) 1.2.3.4.5.6.
7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.22.23.2425.
AgraAhmedabad Ahmednagar Ajmer AkolaAlappuzha
AligarhAllahabad Alwar AmbalaAmravatiAmritsar Anand AsansolAurangabad BangaloreBareillyBathindaBeawar BelgaumBellaryBerhamporeBharuchBharatpur Bhavnagar
26. BhilwaraGuntur 51.Gurgaon52.
KishangarhKolhapur Kolkata
76.77.78.
105.106.107.108.109.110.
111.112.113.114.115.116.117.118.119.120.121.122.123.124.125.
PalghatPali Marwar PanipatPanvelPatnaPatiala
Pimpri-Chinchwad PondicherryPuneRaipur RajamahendravaramRajkotRanchiRatlamRewariRohtak RourkelaSaharanpur SalemSambalpur SangliSangrurSataraShimlaSikar Siliguri
126.127.128.129.130.
SirsaSivakasiSolapur
131.132.133.134.135.136.
137.138.139.140.141.142.143.144.145.146.147.148.149.150.151.152.153.154.155.156.157.
SonepatSri Ganganagar Srinagar
SuratSurendranagar ThaneThiruvananthapuramThrissur TinsukiaTiruchirapalliTirupatiTirupur TuticorinUdaipur UdupiUjjainVadodaraVapiVaranasiVelloreVijayawadaVisakhapatnamWarangalYamuna Nagar
27.28.29.30.31.32.
33.34.35.36.37.38.39.40.41.42.43.44.45.46.47.48.49.50.
BhiwaniBhopalBhubaneswar BhujBikaner Bilaspur
ChandigarhChennai
CoimbatoreCuttack DehradunDelhi/New DelhiDhanbad DurgDurgapur ErnakulamErodeFaridabad
Gandhidham
Ghaziabad Gorakhpur
Chittorgarh
Fatehabad
Gandhinagar
Guwahati53.54.55.56.57.58.
59.60.61.62.63.64.65.66.67.68.69.70..71.72.73.74.75.
Gwalior Hisar HubliHyderabad Indore
Jabalpur Jaipur Jalandhar JalgaonJammuJamnagar Jamshedpur
Jind Jodhpur
KaithalKakinadaKannurKanpur Karnal
Jhansi
Jhunjhunu
Karimnagar
KollamKotaKottayam
79.80.81.82.83.84.
85.86.87.88.89.90.91.92.93.94.95.96.97.98.99.100.
KozhikodeKumbakonam
Latur LucknowLudhianaMaduraiMangaloreMapusa (Goa)Margao (Goa)MathuraMeerutMoradabad MumbaiMuzaffarnagar Mysore
Nagpur Nanded Nashik
Kurnool
Navsari Nellore
101.102.103.104. Noida
Neemuch
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Admission to the IR MTechnical Exam ination
(11) No. candidate shall be admitted to the IRM Technical Examination unless
Insurance and Pension of the Institute.
Issue of Admit Card (12) (a) A list of Candidates to whom t he Admit Car ds have been issuedfor the IRM Cour se Technical Examinat ion will be hosted on the Institute's website www.icai.org. from 5th May, 2014.All correspondences in the above matter should be addressed to theAdditional Secretary (Exams.) of the Institute at New Delhi quotingthe following for prompt action.IRM Regn. No.Examination Application Form No.Receipt No. Issued (if any) Name of the Centre Opted Telephone No.Fax No.
E-mail(b)
C-1, Sector-1, Noida should be contacted on Fax No. 0120-3054841 and3054843.or on E-mail. : [email protected] Desk telephone Nos. 0120-3054851, 3054852, 3054853, 3054854
Record of answer book tendered at the Examination Centre.
(13) The Superintendents of Examination Centres are being advised to issuereceipt for the answer books handed over through the Invigilator in theAdmit Card.
Candidates are, therefore, advised to secure the signature of the Invigilatorconcerned while submitting their answer books and retain the Admit Cardwith themselves as record of receipt, at least till the declaration of result.
Requirement for passing the IRMTechnical Exam ination
(14) A candidate for the Insurance and Risk Management Technical Examinationshall be declared ordinarily to have passed the examination if he / she securesat one sitting a minimum of 40% marks in each of the papers and 50% marksin the aggregate of all the papers.
Issue of Statement of Mar ks(15) Statement of Marks will be issued to all the candidates who appeared in IRMTechnical Examination normally in two weeks' time from the date of declarationof result.
Check-list to ensur e correctness of enclosures to th e Application
(16)
giving all the required details and the following enclosures are annexedsecurely.
(17)
Refund of fee(18) The fee once paid by a candidate shall not be refunded / adjusted under anycircumstances except where a candidate applies to the Additional Secretary(Exams) for the transfer of fee to the next Examination only, on the ground thathe/she was prevented from attending the Examination on account ofcircumstances beyond his/her control and provided that application to this effectis not received after fifteen days of the date of the Examination.
PLEASE NOTE:
a) Application should be complete in all respects, otherwise it is liable to be r ejected.
b) In the event of fur nish ing any incorrect information / misr epr esentat ion, the admission shall become invalid .
c) No correspondence in this regar d shall be entert ained.
Demand Draft for ........................................Application Form
Admit Card with self attested photo
Self-addressed Envelope for sending
Admit Card.
Self addressed envelope for sending
statement of marks.
Address Slip
Before sending the application, candidates are requested to arrange seriallythe pages of application keeping the demand draft, admit card and envelopeson the Top of the Bunch.
3054836 and 3054842
After declaration of result, a candidate may, if he/she so desires, apply for
verification of his/her answer book(s), necessarily in his/her own handwritingwithin one month from the date of declaration of result. The verification fee is
` 500/-payable by way of a demand draft drawn in favour of Secrectary, TheInstitute of Chartered Accountants of India, payable at New Delhi. There is nostandard application form for verification. Typewritten request will not beentertained.
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INSURANCE AND RISK MANAGEMENT
Control No. Roll No.
Self Attested
Passport Size
LATEST
PHOTOGRAPH
to be pasted here.
(Please do not staple)POST QUALIFICATION COURSE IN
Insur ance and Risk Management Technical Examination, June, 2014
The Institute of Char tered Accountants of India
(Specimen Signature of the Candidate)
I. DEMAND DRAFT DETAILS
II. APPLICANT DETAILS (IN BLOCK LETTERS)
1) DATE
2) AMOUNT (Rupees)
3) DRAWEE BANK
4) DEMAND DRAFT NO.
5) PAYABLE AT
D D MM YEAR
Downloaded Form Without Late Fee With Late Fee
N E EW LD H I
1) NAME (MR/MS.) : (as appearing on
2) FATHER'S NAME (Shri)
of Membership) Attach a
3) CITY OF YOUR PROFESSIONAL ADDRESS
4) MEMBERSHIP NO.
6) IRM REGISTRATION NO.
7) CENTRE OPTED
5) GENDER MALE FEMALE
D I R M / /
8) ELIGIBILITY CERT. NO. & DATE OF ISSUE
D D MM YEAR
ADDRESS FOR
COMMUNICATION
(IN BLOCK LETTERS)
I request for permission to present myself for the Insurance and Risk Management Course Technical Examination to be held in June, 2014conducted by the Institute of Chartered Accountants of India. I solemnly affirm that the above facts and information are complete and correct to the best ofmy knowledge and belief. I also undertake to abide by the Chartered Accountants Regulations, 1988 framed by the Council for the guidance of candidatesappearing for the Insurance and Risk Management Technical Examination.
(Full Signature of Candidate)
Date.......................................... P.T.O.
Encls.: 1.
2.
3.
4.
5.
6.
Demand Draft.
Copy of evidence of membership.
Admit Card Proforma.
Envelope for Admit Card.
Envelope for Statement of Marks.
Address slip.
Yes No
Yes No
Yes No
Yes No
Yes No
10) E-MAIL ADDRESS
9)
CITY PIN
STATE
TEL. : STD CODE NUMBER
MOBILE NO.
Yes No
0
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I. 1. Kind ly w rit e t he da te of is sue of d ema nd d ra ft .
2. Write amount of fee paid. Please also ( ) the relevant box. (Fee is `1000/- w ithout
lat e fee and `1500/- w ith lat e fee. Plea se a dd `100/- if the form is d ow nload ed
from the Ins titute's w ebs ite).
3. Writ e n a me of t he Ba n k.
4. Write number of the Demand Dra f t .
5. Demand Draft s hould be d raw n in favour of "The Secretary, The Institute of Chartered
Accounta nts of India" a nd pa ya ble a t New Delhi only.
II . 1. Kindly w rite your name exac t ly as recorded in the Regis ter o f Members i.e .
Membership Certifica te..
2. Write the name of your fa ther exact ly as appearing in the Membership Cert if icate .
Married fema le memb ers a re to w rite Fa ther's Name only.
3. Write the name of the place you belong to. The same w ill appear on the pass
certificate issued to all the pas s ca ndidat es.
4. Write your membership number. Kindly ta ke special care to w rite your correct
membership number.
5. Tick the appropria t e box.
6. Supposing your reg istration number is DIRM/S/00718, Fill in like :
7. Write the name of a city from among st the list of centres as given in Col.8 of "Notes
for Information and G uida nce of Applicants : from w here you w ish to w rite the IRM
Technica l Exa mina tion.
8. Write the No. and Date of Eligibility Certificat e, as recorded on the Eligibility
Certifica te issued t o you by t he Committee on Ba nking , Insurance a nd Pension.
9. Write your complete postal add ress, very clearly in Capita l Letters for mailing Admit
Ca rd, Pas s C ertificate, Correspond ence, if a ny.
10. Write your E-mail ad dress for our records / use.
11. Write your Phone No. also under your a dd ress in column No.9
Enclosures : Pleas e a tta ch (i) dema nd dra ft (ii) copy of evidence of being a member of ICAI
(iii) Admit ca rd proforma (iv) Envelope for Adm it Ca rd (v) Envelope for Sta teme nt
of Marks and (vi) Address Slips.
Pleas e tick in relevant boxes.
HOW TO FILL-IN FORM
D I R M / S / 0 0 7 1 8
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Address Slip(Please fill in Name & Address)
Address Slip(Please fill in Name & Address)
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THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA(Examination Depar tment)
ICAI Bhawan, Indr apr astha Mar g, New Delhi - 110 002 IRMADMIT CARD (DUPLICATE)
IRM TECHNICAL EXAMINATION-JUNE, 2014Roll No.
Name of the Candidate .............. ................ ............... ................ ............... .............
Membership No. ...................................................................................................
I.R.M. Regn. No. ..................................................................................................
Centre : City : .......................................................................................................
Specimen Signature of the Candidate ..................................................................
Venue of the examination :
self attested photograph
which should be pasted in
this space and not merely
stapled.
LATESTPHOTOONLY
Additional Secretary (Exams.)The Institute of Chartered Accountants of India
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA(Examination Depar tment)
ICAI Bhawan, Indr apr astha Mar g, New Delhi - 110 002 IRMADMIT CARD
IRM TECHNICAL EXAMINATION-JUNE, 2014Roll No.
Name of the Candidate .............. ................ ............... ................ ............... .............
Membership No. ...................................................................................................
I.R.M. Regn. No. ..................................................................................................
Centre : City : .......................................................................................................
Specimen Signature of the Candidate ..................................................................
Venue of the examination :
self attested photograph
which should be pasted in
this space and not merely
stapled.
LATESTPHOTOONLY
Additional Secretary (Exams.)The Institute of Chartered Accountants of India
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Record of Answer Books tendered at the examination centre
Day & Date of ExaminationAfternoon Session(2.00 p.m. to 5.00 p.m.) (IST)
IRM TechnicalExaminationPapers
Name of theInvigilator
Signature of the Invigilator inconfirmation of receipt of answer book
Module-IPrinciples and Practiceof Insurance
Module-IITechnical Aspects of Insurance
Module-IIIRisk Management and Reinsurance
Module-IVBusiness StrategicPlanning & InformationTechnology
Special Note: There will be no change in the examination schedule even if any examination day is declared as a PublicHoliday by Central Government or any State Government.
Tuesday3rd June, 2014
Thursday5th June, 2014
Saturday7th June, 2014
Monday9th June, 2014
Record of Answer Books tendered at the examination centre
Day & Date of ExaminationAfternoon Session(2.00 p.m. to 5.00 p.m.) (IST)
IRM TechnicalExaminationPapers
Name of theInvigilator
Signature of the Invigilator inconfirmation of receipt of answer book
Module-IPrinciples and Practiceof Insurance
Module-IITechnical Aspects of Insurance
Module-IIIRisk Management and Reinsurance
Module-IVBusiness StrategicPlanning & InformationTechnology
Special Note: There will be no change in the examination schedule even if any examination day is declared as a PublicHoliday by Central Government or any State Government.
Tuesday3rd June, 2014
Thursday5th June, 2014
Saturday7th June, 2014
Monday9th June, 2014
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f o r
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T h e I n s t i t u t e o f
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