12
The Institute of Chartered Accountants of India POST QUALIF ICATION COURSE I N INSURANCE AND RISK MANAGEM ENT Technical Examination, June, 2014 (Under Regulation 204 of the Chartered Accountants Regulations, 1988) Cost of Application For m : 100/- Rs Last Date : 24th February, 2014 (Without late fee) 3r d Ma r ch, 2014 ( With lat e fe e of 500/-)  NOT ES F OR INF OR MATI ON AND GUIDANC E OF APPLI CANTS Candidates are advis e d to careful ly r ea d, understand and foll ow the Dates of Examination (1) 1 Principles and Practice of Insurance Technical Aspects of Insurance Risk Management and Reinsurance Business Strategic Planning & Information T echnology 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 in advance 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 - I Module - II Module - III Module - IV Last da te for receipt of applic ation at the Institute's Headquarters 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 On ly) extra if the e xamination form is downloaded from Institut e's website. Examination Fee (Note : Candidates are advised not to send any fee other than examination fee along with the Examination Application Form) (5) The Examination Fee should b e paid only by way of Demand Draft which may be of any Scheduled Bank. Drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" and should be payable at New Delhi only. Candidates are advised to furnish the following details on the reverse of the Demand Draft in their own interest.  Name IRM Registration No. Examination Application form No. Centre Opted Mode of Payment of Fee (6) the Examination Department alongwith the examination form. Filli ng up of Admit Car d (7) The application form together with Demand Draft for 1000/- or 1500/-, as the case may be, of any Scheduled Bank be sent by Speed Post / Registered Post On ly in the special envelope attached to this Form to the Additional Secretary (Exams.), The Institute of Chartered Acc ountan ts of I ndia, I CAI Bhawan, Indr apr astha Mar g, New De lhi-110 002. Candidates are advised not to send the application through courier. Institute. How the application form should reach the Institute? (9) A list of candidates eligible to appear for IRM Course Technical Examination June, 2014 (10) 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. 24 25. Agra Ahmedabad Ahmednagar Ajmer Akola Alappuzha Aligarh Allahabad Alwar Ambala Amravati Amritsar Anand Asansol Aurangabad Bangalore Bareilly Bathinda Beawar Belgaum Bellary Berhampore Bharuch Bharatpur Bhavnagar 26. Bhilw ara Guntur 51. Gurgaon 52. Kishangarh Kolhapur 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. Palghat Pali Marwar Panipat Panvel Patna Patiala Pimpri-Chinchwad Pondicherry Pune Raipur Rajamahendravaram Rajkot Ranchi Ratlam Rewari Rohtak Rourkela Saharanpur Salem Sambalpur Sangli Sangrur Satara Shimla Sikar Siliguri 126. 127. 128. 129. 130. Sirsa Sivakasi Solapur 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. Sonepat Sri Ganganagar Srinagar Surat Surendranagar Thane Thiruvananthapuram Thrissur Tinsukia Tiruchirapalli Tirupati Tirupur Tuticorin Udaipur Udupi Ujjain Vadodara Vapi Varanasi Vellore Vijayawada Visakhapatnam Warangal Yam una 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. Bhiwani Bhopal Bhubaneswar Bhuj Bikaner Bilaspur Chandigarh Chennai Coimbatore Cuttack Dehradun Delhi/New Delhi Dhanbad Durg Durgapur Ernakulam Erode Faridabad Gandhidham Ghaziabad Gorakhpur Chittorgarh Fatehabad Gandhinagar Guwahati 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70.. 71. 72. 73. 74. 75. Gwalior Hisar Hubli Hyderabad Indore Jabalpur Jaipur Jalandhar Jalgaon Jammu Jamnagar Jamshedpur Jind Jodhpur Kaithal Kakinada Kannur Kanpur Karnal Jhansi Jhunjhunu Karimnagar Kollam Kota Kottayam 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. Kozhikode Kumbakonam Latur Lucknow Ludhiana Madurai Mangalore Mapusa (Goa) Margao (Goa) Mathura Meerut Moradabad Mumbai Muzaffarnagar Mysore  Nagp ur  Nand ed  Nas hik Kurnool  Navs ari  Nello re 101. 102. 103. 104.  Noida  Nee much

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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

   3   9   /  -

  o  r

  a  s  a  p  p   l   i  c  a   b   l  e

   f  o  r  s  p  e  e   d  p  o  s   t

   f  r  o  m   N  e  w   D  e   l   h   i

   t  o  y  o  u  r  p   l  a  c  e

   S   t  a   t  e  m  e  n

   t  o   f   M  a  r   k  s

   I   R

   M

   T  o

   P   i  n

   T   h  e   A   d   d   i   t   i  o  n  a   l    S  e  c  r

  e   t  a  r  y   (   E  x  a  m   i  n  a   t   i  o  n  s   )

   T   h  e   I  n  s   t   i   t  u   t  e  o   f

   C   h  a  r   t  e  r  e   d   A  c  c  o  u  n

   t  a  n   t  s  o   f   I  n   d   i  a

   "   I   C   A   I   B   h  a  w  a  n   " ,   I  n   d  r

  a  p  r  a  s   h   t  a   M  a  r  g

   N  e  w

   D  e   l   h   i  -   1   1   0   0   0   2

  I  f  u n

  d e

  l  i v e r e

  d

 p  l e a s e

 r e

  t u r n

  t o

 : 

   S   P   E   E   D   P   O   S   T

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   T   h  e   A   d   d   i   t   i  o

  n  a   l    S  e  c  r  e   t  a  r  y   (   E

  x  a  m   i  n  a   t   i  o  n  s   )

   T   h  e   I  n  s   t   i   t  u   t  e  o   f   C   h  a  r   t  e

  r  e   d   A  c  c  o  u  n   t  a  n   t  s  o   f   I  n   d   i  a

   "   I   C   A   I   B   h  a  w  a  n   " ,   I  n   d  r  a  p  r  a  s   h   t  a   M  a  r  g ,   N  e  w    D  e   l   h   i   -   1   1   0

   0   0   2

   T  o

   C   i   t  y

   P   i  n

   S   t  a   t  e

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