The Institute of Chartered Accountants of India POST QUALIFICATION COURSE IN INSURANCE AND RISK MANAGEMENT Technical Examination, May, 2015 (Under Regulation 204 of e Chartered Accountants Regulations, 1988) Last Date : 24 February, 2015 (Wiout late fee) rd Cost of Application Form : Rs. 100/- 3 March, 2015 (Wi late fee of Rs. 500/-) (1) Dates of Examination NOTES FOR INFORMATION AND GUIDANCE OF APPLICANTS Candidates are advised to carefully read, understand and follow e 11, 13, 15 and 17 May, 2015 (2) Timings of Examination 2.00 p.m. to 5.00 p.m. (IST) (3) (4) (5) (6) (7) Subject : Module - I Module - II Module - III Module - IV Last date for receipt of application at e Institute's Headquarters at New Delhi. Examination Fee (Note : Candidates are advised not to send any fee oer an examination fee along wi e Examination Application Form) Mode of Payment of Fee Filling up of Admit Card (8) Examination Centres 1. Agra 2. Ahmedabad 1 Principles and Practice of Insurance Technical Aspects of Insurance Risk Management and Reinsurance Business Strategic Planning & Information Technology 24 February, 2015 (Wiout late fee) rd 3 March, 2015 (Wi late fee) rd (Application received after 3 March, 2015 will not be entertained under any circumstances. Therefore, candidates sending eir application by Post must send e same at least 3-4 days in advance of e last date and avoid sending it on e last date for receipt of application forms). Rs. 1000/- (Rupees One Thousand Only) wiout Late Fee Rs. 1500/ (Rupees One Thousand Five Hundred Only) wi Late Fee Rs. 100/- (Rupees One Hundred Only) extra if e examination form is downloaded from Institute's website. The Examination Fee should be paid only by way of Demand Draft which may be of any Scheduled Bank. Drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" and should be payable at New Delhi only. Candidates are advised to furnish e following details on e reverse of e Demand Draft in eir own interest. Name IRM Registration No. Examination Application form No. Centre Opted e Examination Department alongwi e examination form. 3. Ahmednagar 4. Ajmer 5. Akola 6. Alappuzha 7. Aligarh 8. Allahabad 9. Alwar 10. Ambala 11. Amravati 12. Amritsar 13. Anand 14. Anantapur 15. Asansol 16. Aurangabad 17. Bangalore 18. Bareilly 19. Bainda 20. Beawar 21. Belgaum 22. Bellary 23. Berhampore 24. Bharatpur 25. Bharuch 26. Bhavnagar 27. Bhilwara 28. Bhiwandi 29. Bhiwani 30. Bhopal 31. Bhubaneswar 32. Bhuj 33. Bikaner 34. Bilaspur 35. Chandigarh 36. Chennai 37. Chittorgarh 38. Coimbatore 39. Cuttack 40. Dehradun 41. Delhi / New Delhi 42. Dhanbad 43. Dhule 44. Durg 45. Durgapur 46. Ernakulam 47. Erode 48. Faridabad 49. Fatehabad 50. Gandhidham 51. Gandhinagar 52. Ghaziabad 53. Gorakhpur 54. Guntur 55. Gurgaon 56. Guwahati 57. Gwalior 58. Hisar 59. Hubli 60. Hyderabad 61. Ichalkaranji 62. Indore 63. Jabalpur 64. Jaipur 65. Jalandhar 66. Jalgaon 67. Jammu 68. Jamnagar 69. Jamshedpur 70. Jhansi 71. Jhunjhunu 72. Jind 73. Jodhpur 74. Kaial 75. Kakinada 76. Kannur 77. Kanpur 78. Karimnagar 79. Karnal 80. Kishangarh 81. Kolhapur 82. Kolkata 83. Kollam 84. Kota 85. Kottayam 86. Kozhikode 87. Kumbakonam 88. Kurnool 89. Latur 90. Lucknow 91. Ludhiana 92. Madurai 93. Mangalore 94. Mapusa (Goa) 95. Margao (Goa) 96. Maura 97. Meerut 98. Moradabad 99. Mumbai 100.Muzaffarnagar 101.Mysore 102.Nagpur 103.Nanded 104.Nashik 105.Navi Mumbai 106.Navsari 107.Neemuch 108.Nellore 109.Noida 110.Ongole 111. Palghat 112.Pali Marwar 113.Panipat 114.Panvel 115.Patiala 116.Patna 117.Pimpri-Chinchwad 118.Pondicherry 119.Pune 120.Raipur 121.Rajamahendravaram 122.Rajkot 123.Ranchi 124.Ratlam 125.Rewari 126.Rohtak 127.Rourkela 128.Saharanpur 129.Salem 130.Sambalpur 131.Sangli 132.Sangrur 133.Satara 134.Shimla 135.Sikar 136.Siliguri 137.Sirsa 138.Sivakasi 139.Solapur 140.Sonepat 141.Sri Ganganagar 142.Srinagar 143.Surat 144.Surendranagar 145.Thane 146.Thiruvananapuram 147.Thrissur 148.Tinsukia 149.Tiruchirapalli 150.Tirunelveli 151.Tirupati 152.Tirupur 153.Tuticorin 154.Udaipur 155.Udupi 156.Ujjain 157.Vadodara 158.Vapi 159.Varanasi 160.Vasai 161.Vellore 162.Vijayawada 163.Visakhapatnam 164.Warangal 165.Yamuna Nagar (9) (10) How e application form should reach e Institute? The application form togeer wi Demand Draft for Rs.1000/- or Rs.1500/-, as e case may be, of any Scheduled Bank be sent by Speed Post / Registered Post Only in e special envelope attached to is Form to e Deputy Secretary (Exams.), The Institute of Chartered Accountants of India, ICAI Bhawan, Indraprasa Marg, New Delhi-110 002. Candidates are advised not to send e application rough courier. Institute. A list of candidates eligible to appear for IRM Course Technical Examination May, 2015 will be hosted by e Committee on Banking, Insurance and Pension on e Website of e Institute www.icai.org Institute of Chartered Accountants of India, Indraprasa Marg, New Delhi - 110 002 so as to Candidates may submit e Examination Application Form, pending receipt of Eligibility Special Note: There will be no change in e examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government.
(11) Admission to e IRM No. candidate shall be admitted to e IRM Technical Examination unless Technical Examination Insurance and Pension of e Institute. (12) Issue of Admit Card (a) A list of Candidates to whom e Admit Cards have been issued for e IRM Course Technical Examination will be hosted on e Institute's website www.icai.org. from 17 April, 2015. All correspondences in e above matter should be addressed to e Deputy Secretary (Exams.) of e Institute at New Delhi quoting e following for prompt action. IRM Regn. No. Examination Application Form No. Receipt No. Issued (if any) Name of e Centre Opted Telephone No. Fax No. E-mail (b) In Case of any difficulty, Deputy Secretary (Exams.), C-1, Sector-1, Noida should be contacted on E-mail. : rpjuyal@icai.in Helpline Desk telephone Nos. 0120-3054851, 3054852, 3054853, 3054854 3054836, 3054842, 4953742 and 4953751-754. (13) Record of answer book tendered The Superintendents of Examination Centres are being advised to issue at e Examination Centre. receipt for e answer books handed over rough e Invigilator in e Admit Card. Candidates are, erefore, advised to secure e signature of e Invigilator concerned while submitting eir answer books and retain e Admit Card wi emselves as record of receipt, at least till e declaration of result. (14) Requirement for passing e IRM A candidate for e Insurance and Risk Management Technical Examination Technical Examination shall be declared ordinarily to have passed e examination if he / she secures at one sitting a minimum of 40% marks in each of e papers and 50% marks in e aggregate of all e papers. (15) Issue of Statement of Marks Statement of Marks will be issued to all e candidates who appeared in IRM Technical Examination normally in two weeks' time from e date of declaration of result. (16) Check-list to ensure correctness of enclosures to e Application giving all e required details and e following enclosures are annexed securely. Demand Draft for Rs... Application Form Admit Card wi self attested photo Address Slip Before sending e application, candidates are requested to arrange serially e pages of application keeping e demand draft and admit card on e Top of e Bunch. (17) After declaration of result, a candidate may, if he/she so desires, apply for verification of his/her answer book(s), necessarily in his/her own handwriting wiin one mon from e date of declaration of result. The verification fee is Rs. 500/-payable by way of a demand draft drawn in favour of Secrectary, The Institute of Chartered Accountants of India, payable at New Delhi. There is no standard application form for verification. Typewritten request will not be entertained. (18) Refund of fee The fee once paid by a candidate shall not be refunded / adjusted under any circumstances except where a candidate applies to e Deputy Secretary (Exams) for e transfer of fee to e next Examination only, on e ground at he/she was prevented from attending e Examination on account of circumstances beyond his/her control and provided at application to is effect is not received after fifteen days of e date of e Examination. (19) For any/all dispute(s) relating to IRM Technical Examination conducted by e Institute of Chartered Accountants of India, e Courts at Delhi shall have exclusive jurisdiction. PLEASE NOTE: a) Application should be complete in all respects, oerwise it is liable to be rejected. b) In e event of furnishing any incorrect information / misrepresentation, e admission shall become invalid. c) No correspondence in is regard shall be entertained.
Control No. INSURANCE AND RISK MANAGEMENT Roll No. POST QUALIFICATION COURSE IN Insurance and Risk Management Technical Examination, May, 2015 The Institute of Chartered Accountants of India Self Attested Passport Size LATEST PHOTOGRAPH to be pasted here. (Please do not staple) I. DEMAND DRAFT DETAILS D D M M 1) DATE 2) AMOUNT (Rupees) YEAR (Specimen Signature of e Candidate) Downloaded Form Wiout Late Fee Wi Late Fee 3) DRAWEE BANK 4) DEMAND DRAFT NO. 5) PAYABLE AT N E W D E L H I II. APPLICANT DETAILS (IN BLOCK LETTERS) 1) NAME (MR/MS.) : (as appearing on 2) FATHER'S NAME (Shri) of Membership) Attach a 3) CITY OF YOUR PROFESSIONAL ADDRESS 4) MEMBERSHIP NO. 5) GENDER MALE FEMALE 6) IRM REGISTRATION NO. D I R M / / 7) CENTRE OPTED 8) ELIGIBILITY CERT. NO. & DATE OF ISSUE D D M M YEAR 9) ADDRESS FOR COMMUNICATION (IN BLOCK LETTERS) CITY PIN STATE TEL. : STD CODE NUMBER MOBILE NO. 0 10) E-MAIL ADDRESS I request for permission to present myself for e Insurance and Risk Management Course Technical Examination to be held in May, 2015 conducted by e Institute of Chartered Accountants of India. I solemnly affirm at e above facts and information are complete and correct to e best of my knowledge and belief. I also undertake to abide by e Chartered Accountants Regulations, 1988 framed by e Council for e guidance of candidates appearing for e Insurance and Risk Management Technical Examination. Encls.: 1. Demand Draft. Yes No 2. Copy of evidence of membership. 3. Admit Card Proforma. Yes No Yes No 4. Address slip. Yes No (Full Signature of Candidate) Date... P.T.O.
HOW TO FILL-IN FORM I. 1. Kindly write e date of issue of demand draft. 2. Write amount of fee paid. Please also ( ) e relevant box. (Fee is Rs. 1000/- wiout late fee and Rs. 1500/- wi late fee. Please add Rs.100/- if e form is downloaded from e Institute's website). 3. Write name of e Bank. 4. Write number of e Demand Draft. 5. Demand Draft should be drawn in favour of "The Secretary, The Institute of Chartered Accountants of India" and payable at New Delhi only. II. 1. Kindly write your name exactly as recorded in e Register of Members i.e. Membership Certificate.. 2. Write e name of your faer exactly as appearing in e Membership Certificate. Married female members are to write Faer's Name only. 3. Write e name of e place you belong to. The same will appear on e pass certificate issued to all e pass candidates. 4. Write your membership number. Kindly take special care to write your correct membership number. 5. Tick e appropriate box. 6. Supposing your registration number is DIRM/S/00718, Fill in like : D I R M / S / 0 0 7 1 8 7. Write e name of a city from amongst e list of centres as given in Col.8 of "Notes for Information and Guidance of Applicants: from where you wish to write e IRM Technical Examination. 8. Write e No. and Date of Eligibility Certificate, as recorded on e Eligibility Certificate issued to you by e Committee on Banking, Insurance and Pension. 9. Write your complete postal address, very clearly in Capital Letters for mailing Admit Card, Pass Certificate, Correspondence, if any. 10. Write your E-mail address for our records / use. 11. Write your Phone No. also under your address in column No.9 Enclosures : Please attach (i) demand draft (ii) copy of evidence of being a member of ICAI (iii) Admit card proforma (iv) Address Slips. Please tick in relevant boxes.
Address Slip (Please fill in Name & Address) Address Slip (Please fill in Name & Address)
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA LATEST PHOTO ONLY (Examination Department) ICAI Bhawan, Indraprasa Marg, New Delhi - 110 002 ADMIT CARD (DUPLICATE) IRM TECHNICAL EXAMINATION - MAY, 2015 Roll No. IRM self attested photograph which should be pasted in is space and not merely stapled. Name of e Candidate... Membership No.... I.R.M. Regn. No.... Centre : City :... Specimen Signature of e Candidate... Venue of e examination : Deputy Secretary (Exams.) The Institute of Chartered Accountants of India THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA LATEST PHOTO ONLY (Examination Department) ICAI Bhawan, Indraprasa Marg, New Delhi - 110 002 ADMIT CARD IRM TECHNICAL EXAMINATION-MAY, 2015 Roll No. IRM self attested photograph which should be pasted in is space and not merely stapled. Name of e Candidate... Membership No.... I.R.M. Regn. No.... Centre : City :... Specimen Signature of e Candidate... Venue of e examination : Deputy Secretary (Exams.) The Institute of Chartered Accountants of India
Record of Answer Books tendered at e examination centre Day & Date of Examination Afternoon Session (2.00 p.m. to 5.00 p.m.) (IST) Monday 11 May, 2015 Wednesday 13 May, 2015 Friday 15 May, 2015 Sunday 17 May, 2015 IRM Technical Examination Papers Module-I Principles and Practice of Insurance Module-II Technical Aspects of Insurance Module-III Risk Management and Reinsurance Module-IV Business Strategic Planning & Information Technology Name of e Invigilator Signature of e Invigilator in confirmation of receipt of answer book Special Note: There will be no change in e examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government. Record of Answer Books tendered at e examination centre Day & Date of Examination Afternoon Session (2.00 p.m. to 5.00 p.m.) (IST) Monday 11 May, 2015 Wednesday 13 May, 2015 Friday 15 May, 2015 Sunday 17 May, 2015 IRM Technical Examination Papers Module-I Principles and Practice of Insurance Module-II Technical Aspects of Insurance Module-III Risk Management and Reinsurance Module-IV Business Strategic Planning & Information Technology Name of e Invigilator Signature of e Invigilator in confirmation of receipt of answer book Special Note: There will be no change in e examination schedule even if any examination day is declared as a Public Holiday by Central Government or any State Government.
From : SPEED POST / REGISTERED To The Deputy Secretary (Examinations) The Institute of Chartered Accountants of India ICAI Bhawan Indraprasa Marg New Delhi - 110 002 IRM