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Members of the ICWAI are requested to provide their specimen signature in the following format and send the same so as to reach The Secretary, The Institute of Cost and Works Accountants of India, 12, Sudder Street, Kolkata – 700 016 on or before by 1st March, 2011 positively.

I, Shri/Ms…………………………………………………………………………….., is giving below my specimen signature for the Institute’s record.

Previous Signature :
Current Specimen Signature
1. 2.
3. 4.
NAME IN FULL :
MEMBERSHIP NO. :
DATE :

Note:

•  The above form should be sent to The Secretary, The Institute of Cost and Works Accountants of India, 12, Sudder Street, Kolkata – 700 016 to be maintained and used for verification as and when required.

•  Only duly signed hard copy (in A4 size Paper) in above format shall be accepted.

•  Please use Black Ink for signature.

•  Please put your specimen signature in all the 4 boxes.

•  You may take printout of this form on an A4 sheet and keep the same for for future use and reference.

•  Please use thicker variety white sheets only.

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