.. _imca-referral-form:

IMCA referral form
===================


.. figure:: /images/section2/imca-referral-form-2-1.png
  :align: center

This section contains the self explanatory fields.

* Mark the checkbox field present if the condition satisfies else unmark.
* Select Yes or No from the drop down menu .
* Enter the date manually in the date field or select from the calender icon to the right.
* Upload signature in the Signature section by clicking **Choose File**.

* After filling all the fields you can **Save** **Save and add another** **Save and continue editing**