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The Institute of Chartered Accountants of India


INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2019
(New Syllabus)

CANDIDATE DETAILS
Name of Candidate : REKHA CHORADIA
DOB: 27/11/1998 Gender : Female
Registration No : CRO0635594 E Mail : rekhachoradia2711@gmail.com
Applied Date: 05/03/2019 Control No: 1194138792
Medium Opted : English Landline No: -
Exam Applied : Intermediate Both Groups
Examination Centre : JODHPUR 1194138792
Center Code: 438
Mobile No : 9461757317
Father's Name: KAMAL CHAND CHORADIA
Registration date of Intermediate/ATC:
Date of commencement of articleship
Group I/ATC : 15/08/2017
training: 03/05/2018
Group II : 15/08/2017
PIN : 1234 Differently Abled : NO
ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)

Exam Passed MONTH & YEAR Roll No.

PARTIAL INTERMEDIATE (PASSED ON OR AFTER NOVEMBER 1994)/ ERSTWHILE INTERMEDIATE/ IPCE/ PEE-II/ PCE/
INTERMEDIATE(IPC) / INTERMEDIATE EXAMINATION PASSING DETAILS
Exam Passed MONTH & YEAR Roll No.
EXEMPTION SECURED IN INTERMEDIATE(IPC) / INTERMEDIATE/ATE
Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7 P8
PAYMENT DETAILS

Total Amount: 2700 INR Transaction Date: 09/03/2019 Bank Transaction No: EFIN_CRO0635594_2877711819

DETAILS FOR DETERMINING ELIGIBILITY

(iii)(a) Direct Entry Scheme - Graduates/Post Graduates Registered for Intermediate course/ATC and commenced articleship on or
before 01st August, 2018 and completed/would be completing 9 months of articleship including 8 months of study course as on 01st May,
2019
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The Institute of Chartered Accountants of India


INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2019

Registration No : CRO0635594 Control No: 1194138792

1194138792
DECLARATION
1. I REKHA CHORADIA son/daughter of KAMAL CHAND CHORADIA request for permission to present myself at the Intermediate Examination to be held in MAY 2019 by the Institute of Chartered Accountants of India and hold
valid registration for appearing in Intermediate Examination to be held in MAY 2019.
2. I declare that I am eligible to appear in the Intermediate Examination as I have passed the PEE-I/Erstwhile Foundation/Entrance Examination and have completed eight months study course in Intermediate; 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 on or before 01st
September, 2018 ; Or
4. I had 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; Or
5. I registered for Intermediate course/ATC under the Direct Entry Scheme, under the Graduate/Post Graduate category and commenced articleship on or before 01st August, 2018 and completed/would be completing 9 months of
article ship including 8 months of study course as on 01st May, 2019 ; Or
6. I converted to Intermediate under the Direct Entry Scheme, under the Graduate/Post Graduate category from erstwhile Intermediate or PE-II or PCC or IPCE or Intermediate (IPC) and completed/would be completing 9 months of
articleship( including 8 months of study course) as on 01st May, 2019; Or
7. I registered for Intermediate 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 September, 2018
and completed or would be completing 8 months study course as on 01st May, 2019 ; Or
8. I converted to Intermediate from erstwhile Intermediate/PE-II/PCC /IPCE or Intermediate (IPC), 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 May, 2019 ; Or
9. I registered for erstwhile Intermediate (IPC) course through CPT route and appeared in the erstwhile Intermediate (IPC) Examination in one or both groups but did not qualify both the groups or either of the groups and converted to
erstwhile Intermediate (IPC) under the Direct Entry Scheme and now converted to Intermediate and commenced / would be commencing practical training on or before 30th April, 2019.
10. I have registered for the group(s) / level in which I wish to appear in May,2019.
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 : REKHA CHORADIA


Address : JAIN SYNTHETICS
B 37-38, SHIV MARKET BASEMENT,
TRIPOLIYA BAZAR
JODHPUR
Paste firmly with glue or RAJASTHAN, Pincode: 342001
adhessive like fevicol INDIA
(Do not staple) a recent
Signature of the candidate
color photograph of size
(Sign within the box with black pen)
3.5 X 4.5 cms

I do hereby certify that the photograph and signature appearing above are that of Mr./Ms REKHA CHORADIA. 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