The document is a registration form for a professional development program on "Finance for Non-Finance Executives" hosted by the Indian Institute of Capital Markets. It requests the participant's contact information and payment to attend one of the indicated program dates in August 2012, October 2012, December 2012, February 2013 or April 2013. The program fees are Rs. 20,000 per participant and include course materials, books, lunch and tea/coffee. Completed registration forms and payment should be mailed to the provided address in Navi Mumbai, India.