CFM CENTRE FOR FINANCIAL MANAGEMENT

No.17, I A Cross, 17th A Main , J .P Nagar II Phase, Bangalore- 560 078

Tel 080-26597634, 4093 9243 TeleFax : 080-4093 9243
Email : info@cfm-india.com URL : www.cfm-india.com

XV BATCH
CERTIFIED FINANCIAL MANAGER
Staple two Recent
APPLICATION FOR ADMISSION Colour Stamp Size
A . PERSONAL DETAILS Photos

Name: Mr/Ms……………………………………………….
(Use Capital) (Underline Surname)

Date of Birth …………………………………………………

Specimen Signature
Address ………………………………………………………
………………………………………………………………... ……………………………
………………………………………………………………...
Nearest Landmark……….…………………………………………….
(For easy delivery of mail)

Tel (M) : (Res) : Email:

B. ACADEMIC RECORD
Examination Qualification Board/University/Institution Percentage/Grade Year of Pass
Bachelor’s Degree
Master’s Degree
Professional
Others

C. ACADEMIC /PROFESSIONAL PROGRAMME CURRENTLY PURSUING (If

Applicable)

Name of the Programme Institution Likely Date of Completion

D. CURRENT EMPLOYMENT DETAILS ( If Applicable)

Designation Name and Address of the Employer
E. FEES REMITTANCE PARTICULARS
Amount

CFM Programme

Payment Particulars : DD/Cheque (payable at par)/ Merchant ID ) details

……………………………………………………………………………………
Along with this Application Form, the fees has to be remitted by the above mentioned
modes. DD/ Cheque is to be drawn in favour of:‘Centre for Financial Management’
payable at Bangalore. If credit card payment is made ,enclose the digital receipt with the
application form.

F. CHOICE OF EXAMINATION CENTRE: TICK ONE OF THEM

AHMEDABAD /BANGALORE / MUMBAI /DELHI /CHENNAI /HYDERABAD/

KOLKATA/DUBAI/KATHMANDU

G. DECLARATION
I have carefully perused the rules and regulations applicable to the ‘CERTIFIED
FINANCIAL MANAGER’ Programme of the Centre for Financial Management. I
understand that the Centre for Financial Management does not offer placement facility. I
understand that the courts in Bangalore will have jurisdiction over Certified Financial
Manager Programme offered by the Centre for Financial Management.
I hereby declare that the information furnished by me in the application is true and
correct.

Place : Date: Signature of the Candidate

GENERAL INSTRUCTIONS :

1. Enclose a photocopy of the certificate of your HIGHEST

ACADEMIC/PROFESSIONAL QUALIFICATION Do not send the original
certificate
2. Retain a photocopy of the completed Application Form for your records
3. Kindly ensure that you sign the declaration and also furnish the specimen
signature.

SOURCE OF INFORMATION ABOUT CFM

Please mention how did you come to know about the Programme :