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ONLINE FORM
The Institute of Chartered Accountants of India
FINAL EXAMINATION - NOVEMBER 2015
CANDIDATE DETAILS
Name of Candidate : HIMANI SRIVASTAVA
DOB : 16/01/1992

Gender : Female

Registration No : NRO0255037

Group Applied: First

Applied Date : 04/08/2015

Control No: 2158102282

Medium Opted : English

Landline No: 011 - 22611572

Examination Centre : Delhi / New Delhi VI

E Mail : himanisrivastava1992@gmail.com

Center Code: 511


Mobile No : 9971872198

Old Article Registration No. :

Father's Name: A K SRIOVASTAVA

PIN: 1234 Differently Abled : No

Initial Date of Registration to Final(As given in Registration letter issued by Board of Studies,ICAI) : 06/02/2015
Date of Revalidation of Registration to Final (if original registration is more than 5 years old): Nil
DETAILS FOR DETERMINING ELIGIBILITY
CAT IV - IPCC: Completed/Completing 3 years of articleship training (including excess leave, if any) as on 31st October, 2015
INTERMEDIATE / PE-II / PCE / IPCE PASSING DETAILS
Group Name

Exam Passed

MM

YYYY

Roll No

Group I

IPCE

11

2011

289069

Group II

IPCE

11

2014

352574

LAST APPEARANCE DETAILS OF FINAL EXAM


Group Name

MM

YYYY

Roll No

Result

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

PAYMENT DETAILS
Total Amount: 1500 INR

Transaction Date: 07/08/2015

Bank Transaction No:

EFF_NRO0255037_1195595650

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The Institute of Chartered Accountants of India


FINAL EXAMINATION - NOVEMBER 2015

Registration No : NRO0255037

Control No: 2158102282

DECLARATION BY THE STUDENT


I --------------------- Son/Daughter ---------------------- request for permission to present myself at the Final Examination to be held in NOVEMBER
2015 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.

Paste firmly with glue or


adhessive like fevicol
(Do not staple) a recent
Signature of the candidate

color photograph of size 3.5

(Sign within the box with black


pen)

X 4.5 cms

Name

: HIMANI SRIVASTAVA

Address

: FLAT NO 109B POCKET A3


MAYUR VIHAR PHASE III
NEW DELHI
DELHI
Pincode: 110096
INDIA

I do hereby certify that the photograph affixed above is that of Mr./Ms HIMANI SRIVASTAVA 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:
Place:
Enclosures: Certificate of service
Important: Please do not fold this document while posting

Name and Membership No.of the


Member / Principal with Office Seal

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ONLINE FORM
The Institute of Chartered Accountants of India
FINAL EXAMINATION - NOVEMBER 2015

Registration No : NRO0255037 Control No: 2158102282

CERTIFICATE OF SERVICE
Old Article Reg No :

1. Articleship Completion Declaration

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, 2015.
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, 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---------------------

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 Nov, 2015 and due to complete 3 years
/ 3 1/2 years of training (including excess leave, if any)on or before 31st October, 2016.
I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an
articled assistant/audit assistant, will be in service as on 1st Nov, 2015 serving the last twelve months of training and his/her due date of
completion (including excess leave,if any)will be ---------------------------------------------i.e. on or before 31st October, 2016 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
The Institute of Chartered Accountants of India
FINAL EXAMINATION - NOVEMBER 2015

Registration No : NRO0255037

Control No: 2158102282

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 Nov, 2015 and due to complete 3 1/2 years of training (including excess leave, if any) on or before 30th April, 2016.
I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled
assistant/audit assistant, will be in service as on 1st Nov, 2015 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, 2016 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--------------------------

5 (For Intermediate and IPCC) For candidates who are presently in service, serving the last six months of training as on 1st Nov, 2015
and due to complete 3 years of training (including excess leave,if any)on or before 30th April, 2016.
I ----------------------------------------------------hereby certify that Shri/Ms--------------------------------------------presently serving under me as an articled
assistant/audit assistant, will be in service as on 1st Nov, 2015 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, 2016 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--------------------------

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 Nov, 2015 so that they are in
service as on 1st Nov, 2015 failing 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, 2016 or 31st October, 2016 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 confined only 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 whether 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.