Form '108'
[See Regulations 50 and 61 (1JJ

THE INSTITUTE OF CHARTERED ACCOUNTANTS
Certificate of ServiceUnder Articles

OF INDIA

Space for Official Stamp

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I do hereby certify that Shri / Ms
(Name of the Firm)

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served as an articled assistant under me in accordance with the Chartered Accountants Regulations, fora period of

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from

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to

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days.

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I that his / her progress was satisfactory and that to the best of my

knowledge he/she bears good moral character. I further certify that during the above-mentioned period the articled assistant was given leave for

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I further certify that I have paid to the articled assistant a minimum monthly stipend at the rates specified in the Regulations and that the stipend was paid by crossed account payee cheques every month/* deposited by me every month in his account (number)

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(Name of the Bank)

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Branch of the

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Thearticleswere duly registeredwith the Councilof the Institute of CharteredAccounantsof India Vide RegistrationNo I

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Signature

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046193

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(Within the Frame only)

Name in block letters

Membership No.

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Date:

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Place:

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(* Delete words not applicable)
Student Form- 108 Page 1 of 5.

180 days Rs.000/- REPORT OF PRACTICALTRAINING (Refer to Paragraph 25.• 2095148 111111111111111111111111111111 046223 • (Within the frame only) Signature of the articled assistant (Regn.1. In caseof delay in filing the form beyond the stipulated period. No.) Student's Address for Correspondence Address I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I/ I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I City State Code ITJ I I I I I I I I Pin I ~~~~~T~o~odeI I I I I I I I I I I I Country Note: The form should be submitted to the office of the Institute within 30 days. it has to be accompanied by a request for condonation and appropriate condonation fee as per the following schedule: (i) Delay upto 30 days beyond the initial period Rs.100/(ii) Delay between 31 days .300/(iii) Delay beyond 181 days Rs.1 of Training Guide) (Applicable to Articled Assistant registered prior to 1st January 2003) Name of the Firm Name of MIT (If any) I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Name of the Principal Name of the Trainee I I • I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Student Form-I 08 Page 2 of 5 • .

Note: General comments may include information on levels of progression. exchange. • • . Auditing (including internal Audit) c. 7095148 111111111111111111111111111111 046235 (Within the Frame only) Signature Principal/Member-in-charge{Training) Place: Date: IIIIIIIIIII IIIIIIIIIIIIIIIIIIIII I I I-I I I-I I I I I Membership No.• Principal's Membership No. Taxation D. if any General Comments / Remarks: IjWe hereby certify that the aforesaid information is based on Training Records maintained in the office. IIIIIII IIIIIIIIIII Period: From I I I-I I I-I I I I I To I I I-I I I-I Category of Work Experience First Year Second Year • IIII Third Year (Time spent in weeks) A. Student Form-I 08 Page 3 of 5.lnformation Technology F. please specify G. Secondment. Other areas. Management Services E. Trainee's Registration No. Financial & Management Accounting ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ B. if any.

Details of Work Undertaken and Training Received: 111111111111111111111111111111 046248 Sr.• REPORTOF PRACTICALTRAINING (Applicable for Articled Assistant registered on or after 1st January 2003) Personal Details Registration No: Name of the Trainee: • IIIIIIIIIII IIIIIIIIIIIIIIIIII I I I-I I I-I IIII Date of Commencement of articleship training: Name of the Member-in-Charge (Training) (MIT): IIIIIIIIIIIIIIIIIII Membership No: IIIIIII Name of the Principal IIIIIIIIIIIIIIIIIIIIIIIIIIIIII Membership No. Other Areas (to be specified) • Student Form-I 08 Page 4 of 5. Auditing{including InternalAuditfManagement Audit) III. IIIIIIII Period from I I I-I I I-I IIII To I I I-I I I-I IIII 1095148 Mandatory A. Particulars Time spent in Weeks Year 1 Year 2 Year 3 I. Information Technology ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ ITJ V. No. Taxation IV. Management Consultancy & Other Services(including financial management and corporate affairs) ITJ ITJ ITJ ITJ ITJ ITJ VI. • . Accounting II. IIIIIII Name of the Organisation IIIIIIIIIIIIIIIIIIIIIIIIIIIIII Firm No.

if any D. not falling under the captions given. 3. of Summary of Professional (and Other) Training Programmes Attended by Students (SOPT AS). it should be based on the best estimate. This form should be signed by the Principal in a" circumstances. DOD DOD DOD _ is based on Training records C. In the Remarks column. 5. II. be specified. The number of daysjweel<s related to each category may be equated based on the standard number of worl<ing hours j days per dayj week. state the name of the organizer and other details considered relevant. General Comments j Remarks.ofHrs I. The number of daysjweel<s may be indicated on the basis of basic records such as daily time sheets. No Particulars No. We hereby certify that the aforesaid information (Within the Frame only) (Within the Frame only) (Within the Frame only) Signature Student j Trainee Place: Signature MIT Date: Signature Principal I I I I I I I I I I I I I I I I I I I-I Notes: I I-I IIII 1. 2.• Optional Programmes Attended B. • Student Form-I 08 Page 5 of 5. Any other area of work experience j theoretical training. diaries etc. Separate record should be preferably maintained in regard to the work experience during secondment j exchange and should be counter-signed by such other member under whom the trainee has had the work experience. III. • . and in the absence of any such records. 4. Summary of Professional (and Other) Training paper may be attached) by Students (SOPTAS) (separate • Sr.