Escolar Documentos
Profissional Documentos
Cultura Documentos
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
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:
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________________
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)
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.