INDIAN INSTITUTE OF BANKING & FINANCE

WESTERN ZONAL OFFICE, MUMBAI

REGISTRATION FORM FOR CONTACT PROGRAM

JAIIB, DB&F AND CAIIB MAY/JUNE 2010 EXAMINATIONS

I wish to attend contact program for _________________ (JAIIB/DB&F/CAIIB) examination at following place:

Place for Contact Program Tick Any One Place Dates for the contact program
1. Mumbai 14th , 18th & 25th April 2010
2. Vashi, Navi Mumbai 2nd , 4th & 11th April 2010
3. Pune 2nd , 4th & 11th April 2010
4. Ahmedabad 2nd , 9th & 16th May 2010
5. Indore 2nd , 9th & 16th May 2010
6. Bhopal 25th April, 2nd & 9th May 2010
7. Nagpur 11th , 18th & 25th April 2010

I furnish here below my details:

Membership number: __________________ or Registration number (For DB&F) ______________________

Name: Shri/Smt/Kum-------------------------------------------------------------------------------------------------------------
Tel. no ----------------------------, Mobile no ---------------------------, E-mail id:-----------------------------------------
Address: ----------------------------------------------------------------------------------------------------------------------------
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Please tick the subjects applied for Contact Program
JAIIB-Subjects Tick the subjects applied for*
1. Principles & Practices of Banking
2. Accounting & Finance for Bankers
3. Legal Regulatory Aspects of Banking
DB&F-Subjects
1. Principles & Practices of Banking
2. Accounting & Finance for Bankers
3. Legal Regulatory Aspects of Banking
CAIIB-Subjects
1. Risk Management
2. Financial Management
3. General Bank Management

*Fees: Rs.200/- for 1 Subject, Rs.500/- for 3 subjects payable by Demand Draft.

I am enclosing a draft number -----------------------dated ----------------for Rs. --------------- in favour of

Indian Institute of Banking & Finance, payable at Mumbai for Contact class. Please note, no separate receipt will
be issued, please bring copy of this form to the venue for registration.

Date: Signature

(Kindly note Registration form should reach at Western Zonal Office at following address)
To,
Zonal Head, Indian Institute of Banking & Finance, Western Zonal Office
193, Maker Towers, ‘F’ Wing, 19th Floor, Cuffe parade, Mumbai – 400 005