The Institute of Cost Accountants of India
(Statutory body under an Act of Parliament)
Application for CMA Support Center
1.
Name of the Applicant Organization
*
*
2.
(i)
Associated with CMA Institute
*
Yes
No
*
(ii)
Associated with any other Professional Institute
*
Yes
No
*
3.
Communication Details
(i)
Address
*
*
(ii)
Nearest land mark
*
*
(iii)
District
*
*
(iv)
State
*
Select
Andhra Pradesh
Andman & Nikobar Islands(UT)
Arunachal Pradesh
Assam
Bihar
Chandigarh(UT)
Chattish Garh
Dadra & Nagar Haveli(UT)
Daman & Diu(UT)
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerela
LakshDweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
NagaLand
Orrisa
PondiCheery(UT)
Punjab
Rajasthan
Sikkim
TamilNadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Others
*
(v)
Pin Code
*
*
(vi)
E-mail ID
*
*
*
(vii)
Phone No (with STD Code)
(viii)
Website :
4.
Contact details of Program Coordinator
(i)
Name
*
*
(ii)
Designation
*
*
(iii)
E-mail ID
*
*
*
(iv)
AADHAR Card No.
(v)
PAN
5.
Year of Establishment
*
6.
Applied for CMASC with Coaching and Training Facility
*
Yes
No
*
I/ We hereby declare that all the particulars furnished above are true. I/We have gone through the “Guidelines for Recognition and Functioning of CMA Support Centre” of the Institute of Cost Accountants of India. If the above proposal is approved, I/We agree to abide by the rules there in as may be amended from time to time.