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The Institute of Chartered Accountants of India

FINAL ( Old Syllabus ) EXAMINATION - MAY 2019

CANDIDATE DETAILS
Name of Candidate : HUMANYU ANSARI
DOB : 30/04/1991 Gender : Male
Registration No : CRO0362799 Group Applied: Both
Applied Date : 09/03/2019 Control No: 1198525325
Medium Opted : Hindi Landline No: -
Examination Centre : JODHPUR
E Mail : humanyu.ansari@gmail.com
Center Code: 438
Mobile No : 9782892178 Old Article Registration No. : 1198525325
Father's Name : KALEEM ANSARI PIN: 1234 Differently Abled : NO
Initial Date of Registration to Final(As given in Registration letter issued by Board of Studies,ICAI) : 27/10/2015
Date of Revalidation of Registration to Final (if original registration is more than 5 years old): Nil
DETAILS FOR DETERMINING ELIGIBILITY
CAT I - Intermediate : Completed/Completing 3 years of articleship training (including excess leave, if any) as on 30-04-2019
INTERMEDIATE / PE-II / PCE / IPCE / INTERMEDIATE(IPC) PASSING DETAILS

Group Name Exam Passed MM YYYY Roll No

Group I Intermediate 05 2013 388725
Group II Intermediate 05 2014 508648
LAST APPEARANCE DETAILS OF FINAL EXAM
Exam Appeared 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
11/2017 529148 60
PAYMENT DETAILS
Total Amount: 3300 INR Transaction Date: 09/03/2019 Bank Transaction No: EFFO_CRO0362799_1950414499
ARTICLESHIP DETAILS
Articleship Status: Completed
Initial Date of Commencement of Articleship: 23/09/2013 Completion / Due Date of Completion of Articleship: 23/09/2016
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The Institute of Chartered Accountants of India

FINAL ( Old Syllabus ) EXAMINATION - MAY 2019

Registration No :CRO0362799 Control No: 1198525325

1198525325
I do hereby certify that the photograph and signature appearing below are that of Mr./Ms HUMANYU ANSARI. 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: Signature ______________________________
Name and Membership No.of the
Place:
Member / Principal with Office Seal
Name : HUMANYU ANSARI
Address : S/O. - SH. KALEEM ANSARI
DARPAN ENGINEERS
5TH CHOPASANI ROAD NEAR SUSHIL FURNIT
URES
JODHPUR
RAJASTHAN
Pincode: 342001, INDIA
Signature of the candidate
(Sign within the box with black
pen)

DECLARATION BY THE STUDENT

I, _____________________ Son/Daughter ______________________ hereby declare that all the details given above, including the
photograph and signature, relate to me and are true to the best of my knowledge and belief. I also state that I have read and understood the
Guidance Notes related to this exam and confirm the correctness of the uploaded Declaration/Certificate of Service (as applicable) that it
relates to MAY 2019 exams.

I note that the above details form an integral part of my application for appearing in the examination conducted by the Institute and form the
basis for my admission thereto.
I have passed Intermediate level exam. I have registered for the Final course or I will be registering for the Final course on or before 01st May
2019. I have already completed my articleship training or I am due to complete my articleship training before commencement of the exam or I
am / will be in the last six or twelve months of my articleship training as on the first day of the month in which the exam commences and would
be completing the same on or before the prescribed dates. I fulfill the eligibility criteria for appearing in the the CA Final exam to be held in
MAY 2019.
I understand that:
a) It is my duty to report errors/discrepancies, if any, in the details given above to the Examination Dept. of the Institute at the email ID or
address in the guidance notes.
b) I am aware that my admission to Final exam is based on this declaration and would be rendered invalid and void ab initio if the information
given above is found to be false at a later date. Such an act of furnishing false information would be deemed to be an act of unfair means,
under Regulation 41 of the CA Regulations 1988 and action initiated thereon which may include cancellation of the relevant result, debarring
from appearing in examination/s to be held in future, etc.
c) I accept that the decision of the Council of the Institute in this regard will be final and binding on me.