INSTITUTE OF COST AND MANAGEMENT ACCOUNTANTS OF PAKISTAN

ST-18/C, Block-6, ICMAP Avenue, Gulshan-e-Iqbal, Karachi – 75300., Ph. 99243900, Fax. 99243342, E-mail: exam@icmap.com.pk, Website: www.icmap.com.pk

EXAMINATION APPLICATION FOR EXTRA ATTEMPT .

MARCH 2011
BRANCH. __________
(TO BE FILLED IN BY THE CANDIDATE IN BLOCK LETTERS)
SR. NO.____________

REGISTRATION NO.
Candidate’s Candidate’s
EXAM CENTRE
Recent Photograph Recent Photograph
Not more than six months old Not more than six months old
NAME: (Passport Size) (Passport Size)
(Must be as per Matriculation Certificate)
Write Name & Registration No. on Write Name & Registration No.
the back of photograph. on the back of photograph.
FATHER’S NAME:

(Must be as per Matriculation Certificate)

DATE OF BIRTH: Day, Month, Year, NOTE:
ADDRESS: (The correspondence related to examination department will 1. The facility of extra attempt is given only to the
be made on this address. ~ if wish to change otherwise ignore) eligible students who have already appeared and
failed in the subjects allowed for extra attempt.
2. Last date of acceptance of EXAMINATION APPLICATION FOR EXTRA
ATTEMPT along with prescribed fee is March 10, 2011 and 100% late fee will be
CITY: charged upto March 15, 2011.
E-MAIL: 3. Overseas Examination fee DUBAI UAE Dhs 250 for Strategic Financial Management
Stage–6.
PHONE # (Res). (Off). –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– –– ––
CELL # VERIFICATION BY ACCOUNTS DEPARTMENT

FOR STUDENTS OF REMOTE AREAS ONLY 1- Examination Fee Rs. _____________________________ Paid vide Receipt
I would like to collect my examination mail from my examination centre mentioned
No. ____________________________________ Dated _______________
above:
YES / NO 2- Annual Subscription Paid Current year (2010-11) Amount in Rs.

(The address should be duly verified by the concerned centre along with stamp) Receipt No. ___________________________Date________________

EXAMINATION ENTRY FEE STRUCTURE INSTRUCTIONS

TO (i) Tick () against the

APPEAR () Rs.2,500 for Stage-3 subject(s) in which you
CODE SUBJECT TITLE FEE PAID seek permission to
()
[50% Fee for Appearing in appear in the
S301 Financial Accounting – Stage-3 Stage-3 in One or Two Examination.
Subject(s)] (ii) () Fill in the amount of
S302 Business Taxation – Stage-3 fee paid in the prescribed
Cost and Management Accounting- Rs.1,600 for Strategic column.
S303 (iii) Attach photocopies of
Performance Appraisal – Stage-3 Financial Management
Strategic Financial Management – your Grade Sheets of
S601 Rs.1,600 (50% of Stage-6)
last Examination.
Stage-6

DECLARATION: I hereby declare that I have understood the requirements of filling this form and that I take full responsibility for any
omission or error in filling the form and I also declare that to the best of my knowledge and belief the information given in this form is
correct and complete in all respects. In the event of being found otherwise I shall abide by the decision of the Institute to summarily
reject my application / withhold my result. I also undertake to abide by the regulations framed by the Council for the guidance of the ____________________
candidates appearing for the examinations. SIGNATURE
IMPORTANT: Application containing incomplete (blank columns) / incorrect information and
without photograph will not be accepted.

PROVISIONAL ACKNOWLEDGEMENT
Sr. No. (To be filled in by the candidate)

Name Mailing Address

Registration No. Amount Rs. Receipt No. Dated

Receiver’s Signature
 TO BE FILLED IN BY THE CANDIDATE
All entries are mandatory to be filled up
Application is not accepted, if relevant column(s) found blank
TO BE FILLED IN BY THE
LAST EXAM.
COACHING CLASSES Correspondence EDUCATION
PARTICULARS
Course / IBDLP DEPARTMENT
Subject
Stages
Code Enrolment Particulars

Session
No. of Lectures No. of Lectures

Session

Session
Section
Centre
Year

Year
Class or Assignments or Assignments Roll # Stage
Roll # required Completed
Roll #

S-301
STAGE-3

S-302

S-303
STAGE-6

S-601

_____________________________
Signature of Candidate _________________________________
DIRECTOR / OFFICER IN CHARGE

IMPORTANT NOTE
Students shall pay their exam fee in full. In case of any adjustment
claim, a clearance certificate from concerned REGIONAL ICMAP
CENTRE shall be attached with this application, otherwise no
application for examination will be accepted by the Examination
Department and will be returned to the concerned centre.