Application form of company registration 

APPLICATION FORM FOR PRACTISING COMPANY SECRETARIES
SEEKINGREGISTRATION TO IMPART TRAINING
The Secretary
The Institute of Company Secretaries of India
‘ICSI House’ 22, Institutional Area
Lodi Road, New Delhi-110003 .
Dear Sir,
I/We request you to register me/us for imparting Training to the candidate sponsored by the Institute, in
accordance with the Company Secretaries Regulations, 1982 and the Guidelines for Training by Practising
Company Secretaries, 1985 as amended.
I/We hereby declare that l/we am/are in whole-time practice as a Company Secretary/firm of Company
Secretaries in practice subsequently l/we give below my/our necessary particulars for your consideration:
Name (In Block Letters) ____________________________________________
Membership Number ____________________________________________
Certificate of Practice No. and Date of issue ____________________________________________
Date, month and year from which in whole-time practice ____________________________________________
Office Address (in Block Letters) ____________________________________________
Appropriate office area (in measurement) ____________________________________________
If office is shared, please indicate details there of ____________________________________________
Telephone No. ____________________________________________
E-mail, if any ____________________________________________
Address for correspondence (in Block Letters) ____________________________________________
Broadly areas of Practice/Operations ____________________________________________
(i) No. of years in practice ____________________________________________
(ii) Working Hours ____________________________________________
(iii) Average annual gross income from practice ____________________________________________
No. of employees, other than the partner, if any,
and their position ____________________________________________
No. of trainees to be engaged at a time ____________________________________________
Amount of monthly stipend payable ____________________________________________
Particulars of other business/occupation engaged in,
if any ____________________________________________
(i) Nature of business/occupation ____________________________________________
(ii) Working Hours ____________________________________________
l/we undertake to remit Rs. 50/- towards the registration fee for a candidate while engaging him as an apprentice
and pay him stipend as fixed by the Institute from time to time.
Yours faithfully,
Signature Date : _____________