8593form 9_final.pdf
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Form "9"[See Regulation 19]
The Institute of Chartered Accountants of IndiaForm of Application for restoring the name in the Register
Space for Official Stamp
1. Name in Full (Block Letters)
First Name
Middle Name
Last Name
2. Father's Name
3. *Date of Birth
5. **Educational Qualification
4. Nationality Others
Examination University/Authority Year
Result
MarksObtained
MaxMarks
Degree
Diploma
6. Period of residence in India Years Months
Yes No
7. If not an Indian citizen, please state whether Certificate of Indian Domicile has been obtained
To
The Secretary
The Institute of Chartered Accountants of India
Dear Sir,
1I [beg to] apply for restoration of my name in the Register. I also hereby declare that I am not subject to any
of the disabilities stated in section 8 of the Chartered Accountants Act 1949. The required particulars are
furnished below:
Indian--
9 0 9 5 1 4 8 0 5 8 2 5 0
Members Form 9
1Pending amendment, if a member does not want to use the words “beg to”, he can substitute these words by the word, “hereby”. Simply because of this reason,
the Form will not be rejected.
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