KYM Proforma

For any change in address please go to 'change of address' link under manage account
Please mark in the appropriate box (es)
* Please enter membership no. and DOB to validate
1.You are:
Membership No.(For example:A1,F1) Date of birth(dd/MM/yyyy):
If in Practice ?    
COP No.
2. If you are a member of Company Secretaries Benevolent Fund (CSBF)
CSBF LM No.
3. Title:
4. Name:
 
     
Father's Name Date of Birth:(dd/MM/yyyy) Blood Group :    
PAN Aadhar No. Gender    
Residential Address:
City:
State:
Country :
Pin Code:
Mobile Number:
STD Code:
Telephone Number:
Personal e-mail I-D:
Your Native State
Native Distt:
 
5. Your preferred mailing address for Correspondence and Chartered Secretary journal
 
6. Do you want the Chartered Secretary journal be sent to you in physical mode or as a soft copy ?
 
7. Whether Passed PMQ Course(s) of ICSI ?
Name of the Course(s) Year
8(i) Have you done M.Phil. ?
Year: Topic: University/Institution:
(ii) Have you done Ph.D. ?
Year: Topic: University/Institution:
 
Professional Details
9. Professional Qualification(s) (Other than CS, If any):
10 . Academic Qualification:                   (Press Control key for Multiple selection)

                       Note : After choosing qualifications, please click on above Add button to Add Qualifications.
After choosing qualifications, please click on above Update button to Overwrite Qualifications.
11. Your Teaching Experience in:
Subjects  
12. Whether you belong to Central/State Civil Services/Judicial Services ?
Services (Pl.specify)   State/ Cadre  
 
13. If you are in Employment ?
Name of your Organization/Company/Firm:                   
Please specify the group in case your company/employer is a part of group of companies/organization/Institution.
Your complete designation:
Professional Address:
City:
State
Country
Pin Code
STD Code:
Telephone Number (Direct):
Telephone Number (Other):
Extension:
Office e-mail ID:  
Website Address
   
14. You are working with:
a)
b)
Please Specify
c)
Please Specify
d)
Please Specify
e)
Please Specify
f)
Please Specify
g) If working in a company, please specify, whether the company is:
If you are in Practice
15 (a) If in practice, whether you are practicing as:
Others Specify
(b) If you are Company Secretary in Practice:
 
(c) Name of the Proprietorship firm       Name of the partnership firm (Including LLP) in which partner:   
 
16. Looking for CS partner in practice, If yes, please specify the city where partner is required:
  If yes, please specify the city
 
If in Business
17. (a) Nature of Business
Others Specify
Name of Business Entity     Type of Business     
(b)Type
 
(c)Your Position in Business Entity
If Others Specify
 
General details
18. Areas of your Specialization:

Specify the industry in which you have working experience:

(a) CORPORATE LAWS
(b) COMPANY LAWS
(c) TAX LAWS
(d) OTHER LAWS
(e) CAPITAL MARKET & SEBI
(f) BANKING, FINANCE & INSURANCE
(g) FOREIGN ASSIGNMENTS
(h) SKILLS
(i) APPEARING BEFORE
(Pl.Specify)
(j) OTHERS
Please Specify:
 
19. Post Qualifications Experience:
S. NO. Period from to:(for example:2010-2012)       Company(ies) Name Designation(s)
1.
2.
3.
 
20. Whether your company/firm is registered with the ICSI for imparting training ?
No. of trainees for which organization is registered: No. of present trainees: Future requirement:
 
21. Whether you or your company is registered as a Corporate Member of CCGRT/RO/Chapter for attending Professional Development Programmes ?
   Please Specify If No, are you or your company interested in becoming corporate member   
 
22. Whether you are associated with any of the voluntary associations, Cooperatives, NGOs, Trade bodies etc. ?
  If yes, please specify      
 
23. Directorship of Companies: (numbers)
Private company As an Independent Director
Public unlisted company As a Nominee Director
Public listed company    
 
24. Are you a member of any of the committees constituted by ?
Government/ Regulatory body
Chamber of Commerce & Industry
Professional Body
Educational Institution
 
25. Whether you are/were an Office bearer / Member of the Central Council / Regional Council/ Managing Committee of Chapter of ?
        
 
26. In which of the following areas you/your organization can support various activities of ICSI:
 
27. Please Indicate the activities of the ICSI for which you may act as a Resource Person:
 
28. Writing/reviewing study material suggested answers/guideline answers for CS Course/Exams:
 
29. Your personal contacts with any of the following through which ICSI may be benefitted:
 
30. Details of your Published work as Author/Co-Author/Editor:
           
Title:  
 

31. Would you like to help the Institute in organizing career counselling programmes in any of the School(s)/College(s)/Institutions, where you studied or you are/were a part of Managing Committee? If yes, Please mention the name of School(s)/College(s)/Institution and City:
(Please attach separate sheet, If required)



Note : Please upload Single Pdf file for all information.(Maximum 3.5 MB file in Size.) ViewFile

Name of School City
Name of College City
Name of Institutions City
       
32. Details of other members in your family who are members of ICSI
S. NO. Name Membership No. Relation
1.
2.
3.
 
33. Have you downloaded ICSI Mobile App ?
 
34. Are you following ICSI on ?
Facebook
LinkedIn
Twitter