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Cuzaid Academy Registration Form

Cuzaid Academy, Best CA, CS, CWA Coaching institute in delhi, CPT, IPCC, FINAL, CS Foundation, CS Executive, CS Professional, CMA/CWA

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Abhijeet Kumar
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42 views2 pages

Cuzaid Academy Registration Form

Cuzaid Academy, Best CA, CS, CWA Coaching institute in delhi, CPT, IPCC, FINAL, CS Foundation, CS Executive, CS Professional, CMA/CWA

Uploaded by

Abhijeet Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CUZAID ACADEMY

85, 87, 2nd Floor, Gate No. 1, GTB Nagar Metro Station, Kingsway Camp, Delhi-110 009
e-mail: [email protected]; www.cuzaid.com
Call: 011-47067102, +91-9971004986
REGISTRATION FORM
Name (Capital Letter):
Fathers Name:

Photo

Parents Occupation: Name of Organization


Father

Designation

Mother
Present Address:

Permanent Address:

Res. Phone:

Mobile:

E-mail (Capital Letters):


D D M M Y
Date of Birth:

Qualification

Y
Sex:

Board/Univ.

M F

School/College

Category:

Year of
Passing

SC

ST

Subjects

BC

OBC Gen. Oth.

Marks
(Aggregate)

Result %

10th
10+2
Graduation
Master Degree
Professional
Other

Total Work Experience: _________ Years _______ Months


Currently Working as: ________________________ Company: ________________________________
Institute Registration No. _______________________________________________________________

Institute/University: ICSI
Registration for:

ICAI

ICWAI

Classroom + Test Series

Level/Semester: CA

Delhi University
Classroom

Other: ______________

Test Series

CS

CWA

B.Com

M.Com

CPT

Foundation

Foundation

Year ______

Year ______

IPCC

Executive

Intermediate

Sem. ______ Sem. ______

Final

Professional

Final

Modules/Papers: ____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Declaration:
All the information mentioned in the form are correct. I agree with all the rules and regulations of the
Institute Including informed me time to time.
Date: ___________
Place: __________

Signature of Student

Note:
1. Student are require to submit identity proof at the time of registration.
2. Fee once paid would not be refunded.
Study Notes Provided for
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________

Date
______________
______________
______________
______________
______________
______________
______________
______________

Signature
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________

For Office Use Only


Student ID ______________ Batch No. __________ Batch Timings ___________ Days ______________
Batch Timings ___________ Days ______________
Batch Timings ___________ Days ______________

Date: ______________

Authorized Signatory

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