Form 'D'
See Regulation 8(1)
INSTITUTE OF COST AND MANAGEMENT
ACCOUNTANTS OF PAKISTAN
APPLICATION FOR THE ISSUE OF CERTIFICATE OF PRACTICE
The Secretary,
Institute of Cost and Management
Accountants of Pakistan
Karachi.
Sir,
I hereby apply for the grant of a Certificate of Practice under section 6 of the Cost and
Management Accountant Act (XIV) 1966.
I undertake to furnish such information(s) as may be required by the Council in proof of my being
in practice as a Cost and Management Accountant.
As and when I cease to be in practice I shall duly inform the Council for having done so as
required under the ICMAP Regulation.
I enclose a Bank Draft/ Crossed Cheque No. dated _
for the sum of Rs. being the application fee.
Yours faithfully,
Signature
Name
(IN BLOCK LETTERS)
Membership No.
Address
Place of the
Date Firm
INSTITUTE OF COST AND MANAGEMENT
ACCOUNTANTS OF PAKISTAN
APPLICATION FOR CERTIFICATE OF PRACTICE
NAME MEMBERSHIP NO.
FATHER'S NAME ELECTED ON.
ACADEMIC QUALIFICATION
YEAR EXAMINATION INSTITUTION GRADE/DIV.
COMPUTER KNOWLEDGE
EXPERIENCE (Start from the latest job)
Detail job assignment should be given on the attached sheet.
From To Title-Designation Employing Organisation Business Sector
OVERALL EXPERIENCE NO. OFYERS
a) Auditing
b) Cost and Financial Accounting
c) Income Tax Practice
d} System Designing
e) Computer Application
Tentative Practicing Date
Name of the Firm
Address
Ph. No. Fax No.
E-mail
Will you have partner(s)? If so, please give details:
NAME MEMBERSHIP NO. AND OTHER DETAILS
1.
2.
3.
Please provide any other information you consider relevant
Credit Hours of CPE (During last five years)
Courses/Lectures Date (s) Organisers Cr. Remarks
Hours
Date: _
SIGNATURE
FOR OFFICE USE ONLV
C.O.P. Fee Receipt No. Date Rs.
Annual Subs. Receipt No. Date Rs. for the Year
Remarks:
APPROVED/NOT APPROVED
PRESIDENT
