Manish Raj Dhandharia 90/6A, Mahatma Gandhi Road, Kolkata – 700 007 Phone: 98301 59959, 93398 54146, 98310 79998 Website: www.aplombacademy.com ALL INFORMATION SHOULD BE FILLED IN BLOCK LETTERS Date: ____/____/_________ NAME: Gender: Male Date of Birth: Female Mobile (Avoid DND number): E-Mail: Home Land Line: _____________________________________________@____________________________ Father’s / Guardian Name: Father’s / Guardian Mobile Number: Father’s / Guardian Occupation: Address: SUBJECT DETAILS Chartered Accounting (CA) Admission Through: SUBJECT S 1. Accounting (CA – IPCC Gr. - I) 2. Advance Accounting (CA – IPCC Gr. – II) 3. Costing (CA - IPCC) 4. Financial Management (CA - IPCC) 5. Advance Management Accounting – (CA Final) Admission Through: 1. 2. 3. BATCH Batch Batch II : Batch II : : : : Company Secretary (CS) Direct (After Graduation) Batch III Foundation BATCH SUBJECT S Company Accounts (C.S. Executive) Costing & Management Accounting (C.S. Executive) Financial, Treasury & Forex Management (C.S. Final) : : : ICWA Direct (After Graduation) Admission Through: 1. 2. 3. 4. 5. CPT Direct (After Graduation) Foundation BATCH SUBJECT S Financial Accounting (ICWA – Intermediate Gr. - I) Cost & Financial Management (ICWA – Intermediate Gr. - I) Company Accounts (ICWA – Intermediate Gr. - II) Cost & Management (ICWA – Intermediate Gr. - II) ICWA Final [Cost & Management Accounting] : : : : : TERMS & CONDITIONS I understand and accept that the batch once allotted shall only be changed subject to availability of seat in other batch. I agree that the amount once paid shall not be refund under any circumstances except as mentioned in forgoing paragraphs. I agree that your coaching centre shall have the right to reject my admission at any point of time. I also agree that if due to unavoidable circumstances, the batch is discontinue after commencement then the refund would be proportionate to the number of classes not held by you on a scale of 40 classes for the entire course and I shall have no claim for interest and damages. I agree that in any case your liability shall be limited to a maximum of fee paid by me. I also agree that in the event the batch is not conducted at all then I have shall no claim other than the amount paid by me. I understand and agree that it is possible that due to illness of faculty members/ other unavoidable reasons it may not be possible to conduct normal classes for some period of time. I agree that during such period, I shall see the video recording classes of the lectures and I agree to receive in future all kind of messages from Aplomb Academy. I further agree that without prior written permission I shall not indulge any video recording or sound recording of the lectures. I shall strictly abide by all the disciplinary norms of tour coaching centre. I understand that if I do not abide by disciplinary norms then I can be expelled without the refund of any fees. In all matters, any further decision taken by the coaching centre shall be final and I shall abide by it. I further agree that the admission is not transferable. Place: Kolkata Date: ____________________________________________ Applicant’s Signature PAYMENT DETAILS Name: ____________________________________________________________________________________________ Mobile No: AMOUNT PAID: ` ___________________/- In words: _____________________________________________________________________________________________________ Payment Mode: Cash Bank Name:____________________________________________________________________________ Cheque Branch:________________________________________________________________________________ Demand Draft Ch./DD Number:_____________________________________Ch./DD Date: ____/_____/____________