THE INSTITUTE OF CHARTERED ACCOUNTANTS (GHANA) EXAMINATION ENTRY FORM (PROFESSIONAL) MAY 2015 Please ensure full completion of all sections because forms not fully completed are likely to be rejected Student Particulars Student Registration Number (SRN):…… ……………………………………………………… Surname/ Family name:.…………………………………………………………………….…… Other name(s):…...……………………………………………………………………….……… Postal address:...………………………………………………………………………….……… Telephone/ Mobile no:………………………………… Email:...……………………….……… Examination Particulars Tick the box applicable: Level 1 Level 2 Level 3 Rate per paper [Level 1 = GH¢100.00 Level 2 = GH¢150.00 Level 3 = GH¢175.00] Annual Subscription [GH¢100.00] 1.1 LEVEL 1 Financial Accounting Tick LEVEL 3 3.1 Corporate Reporting 1.2 Business Management & Information Systems 3.2 Advanced Audit & Assurance 1.3 Business & Corporate Law 3.3 Advanced Financial Management 1.4 Quantitative Tools in Business 3.4 Tax & Fiscal Policy LEVEL 2 2.1 Financial Reporting 2.2 Management Accounting 2.3 Audit & Assurance 2.4 Financial Management 2.5 Public Sector Accounting & Finance 2.6 Corporate Strategy, Ethics & Governance Tick NOTE: Tick the box in front of the subject(s) you wish to register. 1|Page Tick Amount payable GH¢…………….. Name of bank……………………… Branch:……………………  Examination periods: Monday to Thursday, first week of May and Monday and Tuesday, second week of May 2015.  Examination centers (Tick or circle one only.) Ghana: Accra, Cape Coast, Takoradi, Kumasi, Koforidua, Sunyani, Ho, Tamale, Bolgatanga, Wa, Tamale. Outside Ghana: Monrovia, London, New York. Last date of ICAG examination:…………………………………………………………………... PAYMENT PROCEDURE:  Make payment at any Ecobank branch with your student registration number (SRN).  Complete a pay-in-slip with the needed information and make payment to the specified teller.  Ghana Commercial Bank account no. 1011130022905 High Street branch. Completed form should be scanned and sent to the following email address: (info@icagh.com) OR Post forms to the address below: The Chief Executive The Institute of Chartered Accountants (Ghana) P. O. Box GP 4268 Accra NOTE: DO NOT BRING MOBILE PHONES TO THE EXAMINATION HALL 2|Page