SCM EXE Eligibility Application Form
Willing to take up the exam during
August 2017 (5th Aug Mock & 12th Aug Main)
Date Of Birth
Telephone / Mobile Number
Address of communication
Complete address to which the books has to be shipped- with Pin Code & Landmark
MBA - Pursuing
Post Graduate - Pursuing / Completed
Under Graduate- Completed
Under Graduate Pursuing (Not Eligible)
Major Field of Study
Name of the College / University Studied
State (of College /University)
How many years of experience do you have?
Fresher (less than 1 year of experience)
Employment History - Organizations worked- From date(s) & To date(s) (optional)
Name of the Company, Job Title, Dates of Employment
Declaration : I hereby declare that all information presented on this application is correct and complete. I understand that I am responsible for maintaining supporting documentation, which I may be required to submit as evidence for education and work experience. We accept that “CII reserves the right to postpone or cancel the examination for the reasons beyond their control *
SIGNATURE- Print Name ( ALL CAPITAL LETTERS)
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