Last Date to submit the Form is 15th May. 2013 in NIRC office.

ICAI Bhawan, 5th Floor, Annexe, I. P. Marg, New Delhi- 110002.

NICASA of NIRC of the ICAI Organises Sports Competition for CA Students

Dates: 20th to -25th May, 2013 REGISTRATION FORM

Eligibility: The competition is open to the students who are undergoing articles and students in respect of whom two years have not lapsed after the completion of articles. CPT students are also eligible to participate in the Competition(s). Carom : Chess : Badmintonsingles : and doubles :

Games : Please () whichever (applicable)

Table tennissingles : and doubles: [Kit for Game(s) i.e. Badminton/Tennis Bat will be carried by the Participants.] Name of the Student : .... Registration No. of the Student : Mobile No. Email Address : : : .. .. .. .. .. Fee (Cheque No./Date/Drawn on): Rs.100/-(Rs. One Hundred Only)

Please send the Registration Form dully filled in along with requisite fee with Cheque/Cash in favour of NIRC of the ICAI payable at New Delhi, to NIRC of ICAI, 5th Floor, Annexe, ICAI Bhawan, Indraprashtha Marg, New Delhi- 110002. E-mail : nirc@icai.in, Website: www.nirc-icai.org For Further Clarifications if any, Please Contact 011-30100500 / 30100504/ 30100539, 9540999194/96 The exact Venue for the above Games will be intimated later over mobile/e-mail. I hereby declare that the detatils given above are correct and true. I undertake/understand that if any of the same is/are found false/incorrect, my candidature will liable to be cancelled by NIRC of the ICAI. I also give undertaking that the decision of the NIRC/Judge with regard to the above Sports Activities will be final and no objection/question will be raised by me on the same. I shall abide by all the rules and regulation and the decorum will be maintained by me. Date: Signature of the Student . ACKNOWLEDGEMENT Received with thanks from Ms./Mr. ________________________ Registration No.________________ a sum of Rs. _______ by way of a Cheque No./Cash on account of fees for attending the Sports Activities 2013 to be organised by NIRC of the ICAI. Signature of the Official For NIRC of the ICAI