Professional Training Application Form

Last date for submitting your online form is April 20, 2011

Personal Information

Candidate Name :
Gender :
Place & Date of Birth :
Nationality :
C.N.I.C. No. :
Permanent Address :
Current Address (if different from permanent) :
Cell No. :
Landline No. :
e-Mail :
Father's/Guardian's Name :
Father's/Guardian's Occupation :
Father's/Guardian's Contact No. :

Academic Education
(Matric onwards and starting with the most recent degree first)

Degree	Passing Year	Institution	% age	Grade(s)

Professional Qualification
(starting with the most recent qualifiction first)

MFC Batch No.(only applicable for CA Modular Scheme Students)

Module/Stage	Papers Passed	Papers Referred	Passing Session	Referral Session	No. of Attempts

Any other Educational/Professional Qualification

Description	Year of Passing	Institution	Result (Grade/Division)

Extracurricular, Civic or Community Activities and Hobbies

Activity	Organization	Rewards or Recognition (if any)	Remarks

References

Name	Organization	Business Address	Phone

Declaration

By submitting this application, I certify that the information given and statements made in this application form are true and complete to the best of my knowledge and belief. I hereby apply to Anjum Asim Shahid Rahman, Chartered Accountants at its Office for undergoing professional training. I hereby declare that:

i) I am not a member of or associated with or have any connection with any political party or sectarian group or such other party or group whatsoever, and

ii) I do not hold any position in the capacity of a director or officer of any company or trustee or office bearer of any organisation including NGO’s etc., and

iii) I understand that any misrepresentation or omission of information will be considered sufficient reason for subsequent dismissal if selected for training.