1. REGISTRATION FORM – Internal Audit Academy
IIA –BOMBAY CHAPTER
Name of participant
Designation / Name of Company or firm
IIA member (Yes/ No)
Contact no
Payment Information: Please draw Cheque in favor of : Institute of Internal Auditors, India – Bombay Chapter
Cheque/Demand Draft No. Date of Cheque
Amount (Rs.) Bank Name
Branch
Send completed registration form along with Cheque/DD :
Ms Sweta Achrekar
IIA – BOMBAY CHAPTER
209 Sagar Avenue, Opp. Shoppers Stop, Above ICICI Bank Branch ,
S V Road, Andheri (West), Mumbai
Tel No
Please a scan copy of cheque along with registration form to