THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA

FORM – 1
MERIT SCHOLARSHIP SCHEME
For students undergoing Article ship
Joining Report
I, ______________________________________ son/daughter of ___________________________________
__________________ was admitted as an articled clerk/audit clerk/industrial trainee on ___________________
and will be completing the prescribed period of practical training under the Chartered Accountants Regulations on
__________________. A Merit Scholarship has been sanctioned to me by the Institute of Chartered Accountants of
India vide Director of Studies’ letter No. _____________________________________________
dated ________________ for a period of ________________________________________________________

Date_________________

Signature of the Student
Registration No. _________________
Address_______________________
______________________________
______________________________
______________________________

Counter signed by the Employer with the seal of his office.
Date________________

Signature of the Member

(Seal of the Firm)

Membership No._________________
Name_________________________
Address_______________________
______________________________
______________________________

For students without Article ship
I, _____________________ son/daughter of __________ was admitted/registered as a student of IPCC/Final Course
with the Institute on _________________.
A Merit Scholarship has been sanctioned to me by the Institute of Chartered Accountants of India vide Director of
Studies’ letter No. _________________ dated __________ for a period of _________________________.

Signature of the member of the Institute
Membership No._________________________
Head of Educational Institution/ Gazette Officer
Date

Seal

Address _______________________________

______________________________________ .

___________ (____________________________________________________) from the Institute of Chartered Accountants of India against ______________________________ (Need – Based and weaker sections scholarship / Merit / Merit cum Need Scholarship) for the period from ______________________to ___________________________ (On revenue stamp) Signature of the Student Name : Reg. No. 2 ADVANCE RECEIPT PART-I Ref. No. CERTIFICATE This is to certify that Shri / Ms._______________) is continuing to be a student of PCC/IPCC/Final Course of ICAI.FORM NO._________________________________(Reg. ________________) is serving under me as Articled / Audit Clerk. Signature of the member of the Institute/ (Membership No.) Head of Educational Institution/Gazetted Officer Address: Date : Seal .: Date : Full Address : PART-II For students undergoing Articleship * Mention which is applicable. : Received a sum of Rs. His/her conduct has been satisfactory. ________________________________( Articled Registration No. No. Signature of the member Name : Membership No: Dated:______________ Address: PART-III For students without Articleship CERTIFICATE This is to certify that Shri/Ms.

2. (i) Examination passed______________________________________________________ (ii) Name of the University/Institution____________________________________________ (iii) Aggregate of marks secured in Degree Course _________________________________ (iv) Percentage of marks______________(Please enclose photocopies of marks sheets of SSC.201 301 (U. I give below the relevant particulars for your consideration. 4 given at the end of this application) Particulars of passing the SSC/University Examination and/or CPT/PE-II/PCC/IPCC Course Examination of the Institute. 7.P. 3. 36. II and III years of Graduation/CPT/PE-II/PCC/IPCC Examination). 1. (a) Name. The Institute of Chartered Accountants of India. name of the firm and nature of business carried on or other relevant particulars as may be applicable. I hereby apply for the grant of Merit-cum-Need Scholarship/Need-based Scholarship under the Chartered Accountants Students' Scholarship Scheme or any other Endowment Scholarship*. Date of Birth Full Address (a) Present PARTICULARS _______________________ _______________________ _______________________ _______________________ Affix latest _______________________ photograph _______________________ (Passport size) _______Pin Code ________ _______________________ (b) Permanent _______________________ _______________________ _______Pin Code ________ (a) Father's/Guardian's Name in full _______________________ (b) Address ________________________________ ________________________________ (c) Occupation (Service/Business/Other means of livelihood). A-29. 6. the scholarship may be withdrawn immediately without prejudice to the recovery of the amounts already advanced to me. Sector – 62. 5. NOIDA .) Dear Sir.APPLICATION FORM FOR GRANT OF SCHOLARSHIP FORM -3 The Director of Studies. 9. I. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Total yearly income of parents/guardian from all sources _____________________________________________________________________________ (See Form No. if the information is found to be wrong. 4. (if applicable) ___________________________________________________________________________ ___________________________________________________________________________ (b) Date of Commencement of Articles ______________________________________________ (c) Date of completion ___________________________________________________________ (d) Date of first eligible attempt for Exam ____________________________________________ Particulars of the Scholarship or financial assistance received from other sources : . Membership Number and address of the Chartered Accountant under whom the candidate is receiving training under the Chartered Accountants Regulations. Please furnish below the name of the organisation and designation of the post held. Name in full (CAPITAL LETTERS) Registration No. 8. Post Box No. I understand that the information contained herein forms the basis for the grant of the scholarship and that.

furnish documentary evidence. Signature of the member of the Institute/ (Membership No. Signature of the Member Membership No.10. No. ________________________ Name_________________________________ (Name of the Firm) Address _______________________________ _____________________________________ Date___________ ____________________________________________________________________________________ For students without Articleship CERTIFICATE This is to certify that Shri/Ms. Name of the Institution___________________________________________________________ Amount_____________________ Period ____________________________________________ List of the documents attached. 11. including the income st of my wife and of son/ward. Please write `OBC' in case you belong to OTHER BACKWARD CLASSES.) Head of Educational Institution/Gazetted Officer Address: Date : Seal FORM-4 I. (Signature) ._________________________________(Reg./Magistrate/Oath Commissioner/Notary Public who would also affix his signature and seal). (Signature) Name___________________ Date________ (To be signed in the presence of a CA. I further agree to abide by the terms and conditions of the award if I am selected for the Scholarship applied for. in the preceding year ended 31 March. (i) (ii) (iii) Whether you belong to Scheduled Caste/Scheduled Tribe. if so.______________________________________________________________father/guardian of _______________________________________________who has applied for the grant of Merit-cumNeed-Based/Endowment Scheme Scholarship declare that my total annual income. I hereby declare that the statements made by me in this application form are true to the best of my knowledge and belief._________. 200____ was Rs. His/her conduct has been satisfactory. (Signature of the student) Place___________ Date____________ (For students undergoing Articled Training) Certified that Shri/Ms. ______________________________was admitted in our service as an articled/audit clerk from _________________________and that he/she would be completing the prescribed period of training under the Chartered Accountants Regulations on ____________________._______________) is continuing to be a student of PE-I/PE-II Course of ICAI.

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