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CISM Registration Form Jun Jul 2021
I intend to seek admission to join the CISM Review Course batch at ISACA Mumbai Chapter
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Email
*
Your email
Candidates Name in Full with Salutation (Mr/Ms)
*
Your answer
ISACA Membership ID (N/A in case non-member)
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Your answer
Professional Qualification
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Your answer
Transaction reference ID (For payment made to ISACA Mumbai Chapter through NEFT)
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Your answer
Fees amount deposited as per membership status
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ISACA Member ( Rs. 8,260)
Non-Member (Rs. 12,980)
Repeat Students (ISACA Member) from previous batch (Rs. 6,608)
Repeat Students (Non-Members) from previous batch (Rs. 10,384)
If you are repeating the review classes, please mention the start date of the batch, you attended at Mumbai Chapter.
MM
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DD
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YYYY
Provide GST number (if need to be mentioned in your payment Invoice)
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Organization presently employed
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Your answer
Designation of candidate
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Your answer
Home Address
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Your answer
Business Address
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Participant's Mobile Number
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Your answer
I agree that my admission to this course will be at the discretion of ISACA Mumbai Chapter and that it will be subject to seat availability.
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Agreed
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