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Group Name Exam Passed MM YYYY Roll No

Group I IPCE 11 2011 300200

Group II IPCE 11 2010 170109

Group Name MM YYYY Roll No Result

ONLINE FORM

The Institute of Chartered Accountants of India

FINAL EXAMINATION - NOVEMBER 2014

CANDIDATE DETAILS

Name of Candidate : UMA DHOOT

DOB : 17/10/1989 Gender : Female

Registration No : CRO0333304 Group Applied: Both

Applied Date : 14/08/2014 Control No: 8515272

Medium Opted : English Landline No: 01592 - 236095

Examination Centre : Jhunjhunu

Center Code: 427E Mail : [email protected]

Mobile No : 9413317765 Old Article Registration No. : CRO0333304

Father's Name: PAWAN KUMAR DHOOT PIN: 0111 Differently Abled : No

Initial Date of Registration to Final(As given in Registration letter issued by Board of Studies,ICAI) : 14/03/2012

Date of Revalidation of Registration to Final (if original registration is more than 5 years old): Nil

DETAILS FOR DETERMINING ELIGIBILITY

CAT IV - IPCC: Serving the last 6 months of articleship training (including excess leave, if any) as on 01-11-2014

INTERMEDIATE / PE-II / PCE / IPCE PASSING DETAILS

LAST APPEARANCE DETAILS OF FINAL EXAM

PASSING DETAILS OF FINAL (IF APPLICABLE)

Group MM YYYY Roll No.

EXEMPTION DETAILS

Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7 P8

ELIGIBILITY CERTIFICATE DETAILS

Eligibility Certificate No. Dated:

PAYMENT DETAILS

Total Amount: 2250 INR Transaction Date: 14/08/2014 Bank Transaction No: EFF_CRO0333304_1142326914

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Registration No : CRO0333304 Control No: 8515272

DECLARATION BY THE STUDENT

I --------------------- Son/Daughter ---------------------- request for permission to present myself at the Final Examination to be held in NOVEMBER

2014 conducted by the Institute of Chartered Accountants of India. I declare that facts and information provided in this form are complete and

correct to the best of my knowledge and belief. I am also aware that my admission shall become invalid if I make a wrong declaration and

undertake to abide by the decision of the Council in this regard.

Signature of the candidate

(Sign within the box with black

pen)

Paste firmly with glue or

adhessive like fevicol

(Do not staple) a recent

color photograph of size 3.5

X 4.5 cms

Name : UMA DHOOT

Address : W/O LOKESH AGRAWAL

C/O ANNPURNA SADAN

KHEMI SATI ROAD NEAR MAHESH

CINEMA

JHUNJHUNU

RAJASTHAN

Pincode: 333001

INDIA

I do hereby certify that the photograph affixed above is that of Mr./Ms UMA DHOOT who has signed in my presence.The particulars as

furnished on this form have been verified by me and found correct with reference to the documents produced before me by the candidate

Signature ______________________________

Date:Name and Membership No.of the

Member / Principal with Office Seal

Place:

Enclosures: Certificate of service

Important: Please do not fold this document while posting

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ONLINE FORM




CERTIFICATE OF SERVICE

1. Articleship Completion Declaration Old Article Reg No :

New Unique Regn. No:

I -----------------------------------hereby declare that I have completed the prescribed period of 3 years / 3 1/2 Years of practical training

(including excess leave, if any) on ------------------ as an Articled / Audit assistant. A certified true copy of the confirmation later dated ---------

-------issued by the Institute's office in this regards is enclosed

Date: ---------------------- -----------------------------

Place :---------------------- Signature of the Candidate

2. For candidates who are presently in service and due to complete the prescribed period of 3 years / 3 1/2 years of practical training

(including excess leave if any) on or before 31st October, 2014.

I -----------------------------------------------hereby certify that Shri/Ms----------------------------------------------is presently serving under me as an

articled assistant /audit assistant and his/her due date of completion (including excess leave if any) will be -----------------------------------------

-------on or before 31st October, 2014,as per deed of articles.

Old Article Regn.No.--------------------------New Unique Regn.No.-------------------------- -------------------------------------- -------------------------------

Date:---------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:---------------------- ICAI Membership No---------------------

3 (For candidates PE-II and Converted from PE-II to IPCC, Converted from PE-II to PCC or from PE-II to PCC and then IPCC) For

candidates who are presently in service, serving the last twelve months of training as on 1st November, 2014 and due to complete

3 years / 3 1/2 years of training (including excess leave, if any)on or before 31st October, 2015.

I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an

articled assistant/audit assistant, will be in service as on 1st November, 2014 serving the last twelve months of training and h is/her due

date of completion (including excess leave,if any)will be ---------------------------------------------i.e. on or before 31st October, 2015 as per

deed of articles.

Old Article Regn.No.--------------------------

New Unique Regn.No.-------------------------- -------------------------------------- -------------------------------

Date:---------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:---------------------- ICAI Membership No--------------------

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ONLINE FORM




CERTIFICATE OF SERVICE

4 (For PCC or Converted from PCC to IPCC) For candidates who are presently in service, serving the last six months of training as on

1st November, 2014 and due to complete 31/2 years of training (including excess leave, if any) on or before 30th April, 2015.

I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled

assistant/audit assistant, will be in service as on 1st November, 2014 serving the last six months of training and his/her due date of

completion (including excess leave, if any)will be ---------------------------------------------i.e. on or before 30th April, 2015 as per deed of articles.



Date.-------------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:------------------------ ICAI Membership No--------------------------

5 (For Intermediate and IPCC) For candidates who are presently in service, serving the last six months of training as on 1st November,

2014 and due to complete 3 years of training (including excess leave,if any)on or before 30th April, 2015.

I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled

assistant/audit assistant, will be in service as on 1st November, 2014 serving the last six months of training and his/her due date of

completion (including excess leave, if any)will be ---------------------------------------------i.e. on or before 30th April, 2015 as per deed of articles.



Date.-------------------------- Signature of the articled/audit assistant Signature of Principal/Member

Place:------------------------ ICAI Membership No--------------------------

ATTENTION STUDENTS

Candidates who have already completed 2 years or 2 years and 6 months or 3 years of training and have taken termination due to any reason are advised, in their

own interest to re-register their balance period of training with the Institute well before the commencement of examination i.e 1st November, 2014 so that they are

in service as on 1st November, 2014 fa iling which admission to the examination will not be granted.

To complete 3years or 3 years and 6 months of training (including excess leave taken) on or before 30th April, 2015 or 31st October, 2015 as the case may be.

A candidate who is otherwise eligible to appear in the Final Examination shall not be required to be in the service of articles/audit training on the first day of the

month in which the Final examination is held. However, such relaxation shall be con fined on ly to first of such permissible examination (i.e the Final Examination in

which a student shall become eligble to appear in the Final Examination for the first time only but not thereafter), irrespective of whethe r he is from the stream of

Professional Education Examination - II(PEE-II) or Professional Competence Examination (PCE) or Integrated Professional Competence Examination (IPCE) under

the provisions of Regulation 29 C of the Chartered Accountants Regulations 1988.

Relaxation given by Council(Item No 18 of the Special Meeting of the Council held on 2nd February 2011) does not means that the student is exempted from

balance training period.

In other words, as per the decision of the Council Relaxation to the candidates appearing for the first time is that the candidate may or may not be in service on

the 1st day of the month in which Final Examinations are held.

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