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The Institute of Chartered Accountants of India


INTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2014
CANDIDATE DETAILS
Name of Candidate : SUNNY KUMAR
DOB: 28/08/1989

Gender : Male

Registration No : NRO0233125

E Mail : nitinbhatnagar2008@gmail.com

Applied Date: 18/08/2014

Control No: 4514078

Medium Opted : English

Landline No: -

Exam Applied : Intermediate (IPCE) Group-I / ATE


Examination Centre : Delhi / New Delhi VIII
Center Code: 513
Mobile No : 9910656798
Father's Name: ANIL KUMAR
Conversion / Registration date of Intermediate(IPCC)/ATC: 27/01/2009
PIN :2808

Revalidation Date: 27/01/2013

Differently Abled :No

ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)


Exam Passed

MONTH & YEAR

Roll No.

CPT

01, 2009

172277

PARTIAL INTERMEDIATE (PASSED ON OR AFTER NOVEMBER 1994)/ PEE-II/ PCE/ I(IPC)E EXAMINATION PASSING DETAILS
Exam Passed

MONTH & YEAR

Roll No.

EXEMPTION DETAILS OF EXEMPTION SECURED IN I(IPC)E/ATE


Month & Year

Roll No.

P1

P2

P3

P4

P5

P6

P7

PAYMENT DETAILS
Total Amount: 1000 INR

Transaction Date: 18/08/2014

Bank Transaction No:

EFI_NRO0233125_1227104940

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The Institute of Chartered Accountants of India


INTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2014

Registration No :

NRO0233125

4514078

Control No:

DECLARATION BY THE STUDENT


1. I SUNNY KUMAR son/daughter of ANIL KUMAR request for permission to present myself at the Intermediate (IPC) /Accounting Technician Examination to be held in
NOVEMBER 2014 by the Institute of Chartered Accountants of India and hold valid registration for appearing in Intermediate(IPC) Examination to be held in
NOVEMBER 2014.
2. I declare that I am eligible to appear in the Intermediate (IPC) Examination /ATE as I have passed the PEE-I/Foundation/Entrance Examination and have completed
eight months study course in IPCC.
3. I have passed the Common Proficiency Test (CPT) as well as Senior Secondary (10+2) Examination or an examination recognized as equivalent thereto by the
Central Govt. and have registered for Intermediate (IPC) course / ATC on or before 01st March, 2014 as per registration letter received from the Regional Office; or
4. I was already registered for the erstwhile Intermediate Examination as per syllabus under Paragraph 2 or 2A of Schedule B of Chartered Accountants Regulations
1988 or Professional Education (Course II) under sub-regulation (1) of regulation 28A or Professional Competence Course under Regulation 28 C of the Chartered
Accountants Regulations , 1988 and have already converted into the Intermediate (IPC) Course/Accounting Technician Course (ATC).
5. I registered for Intermediate (IPC) course/ATC under the Direct Entry Scheme, under Graduate/Post Graduate category and commenced articled training on or before
01st February, 2014 & completed/would be completing 9 months of articled training (including 8 months of study course) as on 01st Nov, 2014 as per article registration
letter received from the Regional office.
6. I converted to Intermediate (IPC) course /ATC from erstwhile Intermediate or CPT or PE-II or PCC or IPCC,under Direct Entry Scheme, under Graduate/Post
Graduate category and commenced articled trainging on or before 01st February, 2014 & completed/would be completing 9 months of articled training (including 8
months of study course) as on 01st Nov, 2014 as per article registration letter received from the Regional office.
7. I registered for Intermediate (IPC) course/ATC, under Direct Entry Scheme, having passed the Intermediate level examination of the Institute of Cost Accountants of
India/The Institute of Company Secretaries of India, on or before 01st March, 2014 and completed or would be completing 8 months study course as per registration
letter issued by Regional Office.
8. I converted to Intermediate (IPC) course /ATC, from erstwhile Intermediate/CPT/PE-II/PCC or IPCC, under the Direct Entry Scheme, having passed the Intermediate
Level examination of The Institute of Company Secretaries of India/Institute of Cost Accountants of India, and completed/would be completing 8 months of study course,
as on 01st Nov, 2014 as per article registration letter received from the Regional office.
9. I declare that the 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 wrong declaration and undertake to abide by the decision of the Council in such a situation.

Name :
Paste firmly with glue or

Address : RZ-C-116 DABRI EXTENTION EAST

adhessive like fevicol


(Do not staple) a recent
Signature of the candidate

color photograph of size

(Sign within the box with black pen)

SUNNY KUMAR
NEAR MAMTA MEDICOS
NEW DELHI
DELHI, Pincode:110045
INDIA

3.5 X 4.5 cms

I do hereby certify that the photograph affixed above is that of Mr./Ms SUNNY KUMAR 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.

Date:
Place:
Important: Please do not fold this document while posting

Name & Signature of the Member of ICAI/ Principal / Gazetted Officer


with Membership NO.& Office seal

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The Institute of Chartered Accountants of India


INTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2014

Registration No :

NRO0233125

Control No:

4514078

DETAILS FOR DETERMINING ELIGIBILITY


(i) Registered For Intermediate (IPCC)/ATC on or before 01st March, 2014 based on having passed : CPT and 10+2 exam passed

**************************************************
Certificate of service:
For candidates who registered for/converted to Intermediate (IPC) course under the Direct Entry Scheme under the category
graduates/post graduates and commenced articleship on or before 01st February, 2014

I _____________________________________ hereby certify that Mr/Ms _____________________________________ is presently serving


under me as articled assistant and completed or will be completing 9 months of articled training as 01st Nov, 2014.
Student Regn. No:___________________________
Date: ___________________________
Place: __________________________

Signature of the articled assistant

Signature of Principal

ICAI membership No. _____________________________