Revalidatio.pdf

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CMA BHAWAN, 12 SUDDER STREET, KOLKATA-700016 FORM OF APPLICATION FOR REVALIDATION To The Secretary to the Council of THE INSTITUTE OF COST ACCOUNTANTS OF INDIA CMA Bhawan, 12, Sudder Street, Kolkata - 700 016 APPLICATION NO. RV0000280 REGISTRATION NO. 11021001606 Sir/Madam, I beg to apply for Revalidation as a student of the Institute of Cost Accountants of India, The required particulars are furnished below: Name in Full : THORAT PRAVIN LAXMAN Address : A-1,SHIVRATNA IMAGE DHYARI NARHG ROAD NEAR IARI CO OPP FOHIGH BILLSS State : MAHARASHTRA City : PUNE Pin Code : 411041 Date of Birth : 25/06/1979 Email : [email protected] Mobile : 8983248638 Group : Group-IV Institute Name : WESTERN INDIA REGIONAL COUNCIL Payment Details Payment Mode Transaction/Instrument No Transaction/Instrument Date Drawn on/Bank Deposited Branch Amount Debit/Credit 94254107 05/08/2015 HDFC 1011 I hereby declare that particulars furnished above are correct and complete to the best of my knowledge. Place : PUNE Signature: Date : 02/05/2014 Page 1 of 1 8/5/2015 https://cmaicmai.in/studentfacility/WebPages/Master/Revalidation/RevalidationApplPrint.as ...

Transcript of Revalidatio.pdf

  • CMA BHAWAN, 12 SUDDER STREET, KOLKATA-700016

    FORM OF APPLICATION FOR REVALIDATION

    ToThe Secretary to the Council ofTHE INSTITUTE OF COST ACCOUNTANTS OF INDIACMA Bhawan, 12, Sudder Street, Kolkata - 700 016

    APPLICATION NO. RV0000280REGISTRATION NO. 11021001606

    Sir/Madam,

    I beg to apply for Revalidation as a student of the Institute of Cost Accountants of India, The required particulars are furnished below:

    Name in Full : THORAT PRAVIN LAXMANAddress : A-1,SHIVRATNA IMAGE DHYARI NARHG ROAD NEAR IARI CO OPP FOHIGH BILLSS

    State : MAHARASHTRA City : PUNE Pin Code : 411041

    Date of Birth : 25/06/1979

    Email : [email protected] Mobile : 8983248638

    Group : Group-IV Institute Name : WESTERN INDIA REGIONAL COUNCIL

    Payment Details

    Payment Mode Transaction/Instrument No Transaction/Instrument Date Drawn on/Bank Deposited Branch AmountDebit/Credit 94254107 05/08/2015 HDFC 1011

    I hereby declare that particulars furnished above are correct and complete to the best of my knowledge.

    Place : PUNE Signature:

    Date : 02/05/2014

    Page 1 of 1

    8/5/2015https://cmaicmai.in/studentfacility/WebPages/Master/Revalidation/RevalidationApplPrint.as...