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Application Form
Name: .. Age: ..
Address: ...
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Cell No e- Mail ID: ..
Demand Draft No . Name of the Bank. (Amount in Rs. 5,000 /Plus Rs.1000 for AMS Membership for Non AMS Members) To be drawn in f/o IMA AMS payable at
Marthandam)
Qualifications:
Degree/Diploma
University/Institution
Year Obtained
i.) .
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..
ii.) .
..
..
iii.) .
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Branch.
Direct Member
Field of Practice:
1.) ..
2.) ..
3.) ..
Papers Presented:
1.) ..
2.) ..
Service / Private: ..
Place..
Date