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The Institute of Chartered Accountants of India


INTERMEDIATE ( INTEGRATED PROFESSIONAL COMPETENCE ) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2018 (Old Syllabus)

CANDIDATE DETAILS
Name of Candidate : RAJ KUMAR VISHWAKARMA
DOB: 10/08/1998 Gender : Male
Registration No : CRO0592222 E Mail : rajjkumarr10@gmail.com
Applied Date: 24/08/2018 Control No: 2184604359
Medium Opted : English Landline No: -
Exam Applied : Intermediate (IPC) Both Groups
Examination Centre : INDORE - II 2184604359
Center Code: 431
Mobile No : 7354754493
Father's Name: BANSHMANI PRASAD VISHWAKARMA
Registration date of Intermediate(IPC)/ATC:
Date of commencement of articleship
Group I/ATC : 27/02/2017
training: Nil
Group II : 27/02/2017
PIN : 4444 Differently Abled : NO
ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)

Exam Passed MONTH & YEAR Roll No.


CPT 12, 2016 150417

PARTIAL INTERMEDIATE (PASSED ON OR AFTER NOVEMBER 1994)/ PEE-II/ PCE/ INTERMEDIATE(IPC) EXAMINATION PASSING
DETAILS
Exam Passed MONTH & YEAR Roll No.
EXEMPTION SECURED IN INTERMEDIATE(IPC)/ATE
Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7
PAYMENT DETAILS

Total Amount: 2700 INR Transaction Date: 24/08/2018 Bank Transaction No: EFIO_CRO0592222_3395508523

DETAILS FOR DETERMINING ELIGIBILITY

(i) Registered For Intermediate (IPC)/ATC on or before 01st March, 2018 based on having passed : CPT & 10+2 exam passed
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The Institute of Chartered Accountants of India


INTERMEDIATE ( INTEGRATED PROFESSIONAL COMPETENCE ) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2018

Registration No : CRO0592222 Control No: 2184604359

2184604359
DECLARATION
1. I son/daughter of request for permission to present myself at the Intermediate (IPC) /Accounting Technician Examination to be held in NOVEMBER 2018 by the Institute of Chartered Accountants of India and hold valid registration for
appearing in Intermediate(IPC) Examination to be held in NOVEMBER 2018.
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 Intermediate(IPC). or
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, 2018 ; 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). or
5. I registered for Intermediate (IPC) course/ATC under the Direct Entry Scheme, under the Graduate/Post Graduate category and commenced articled training on or before 01st February, 2018 & completed/would be completing 9
months of articled training (including 8 months of study course) as on 01st November, 2018. or
6. I converted to Intermediate (IPC) course /ATC from erstwhile Intermediate or PE-II or PCC or IPCE,under Direct Entry Scheme, under the Graduate/Post Graduate category and commenced articled training on or before 01st
February, 2018 & completed/would be completing 9 months of articled training (including 8 months of study course) as on 01st November, 2018 . or
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, 2018 and completed or would be completing 8 months study course as on 01st November, 2018 .
8. I converted to Intermediate (IPC) course /ATC, from erstwhile Intermediate/PE-II/PCC or IPCE, 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 November, 2018. or
9. I registered for Intermediate(IPC) through CPT route and appeared in the Intermediate(IPC) examination in one or both groups but did not qualify both the Groups or either of the Groups and converted to Intermediate(IPC) course
under the Direct Entry Scheme and commenced / would be commencing practical training on or before 31st October, 2018
10. I have registered for the group(s) / level in which I wish to appear in November,2018. 11. 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 : RAJ KUMAR VISHWAKARMA


Address : S/O SHRI BANSHMANI PRASAD
VISHWAKARMA
C/O BANSHMANI CHUNKUMARI STADIUM,
WAIDHAN SHOP NO 100
WAIDHAN
MADHYA PRADESH, Pincode: 486886
INDIA
Signature of the candidate
(Sign within the box with black pen)

I do hereby certify that the photograph and signature appearing above are that of Mr./Ms RAJ KUMAR VISHWAKARMA. 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:
Name & Signature of the Member of ICAI/ Principal / Gazetted Officer
Important: Please do not fold this document while posting
with Membership NO.& Office seal