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15/09/2021 Industrial Training Registration (Form 104)

Payment Details x

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Applicant Details
Payment
THE INSTITUTE OF
CHARTERED ACCOUNTANTS
Successful
Invoice Receipt

OF INDIA
Application Sequence Number ARG2379053
(SETUP BY AN ACT OF PARLIAMENT)
Amount
Info! You can download the receipt from the adjacent Invoice tab. 3000.0

Transaction ID 20210915111212800110168380742089400

Info! You can view your Application Form and the status of your application at any time after Login-->Articleship Cycle-->Articleship Module--
Order ID ARG237905320210915114616594
>Submitted/Pending Applications--> Form 103

OK
Form has been successfully submitted after Member's approval and is now pending with the Regional Office for approval.

 Download Form 103 PDF (blob:https://eservices.icai.org/b99e3a5b-bc54-4f98-a1c8-17fbb2cd7637)

Student Details

Student
Registration No of the Articled/Audit Assisant
CRO0163681

Name of the Articled/Audit Assistant


MAJID KHAN

Type of Training
Articleship

Name of the Guardian


ABID ALI KHAN

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15/09/2021 Industrial Training Registration (Form 104)

Details of Training under


Member / Firm
Payment Details x
Date of Commencement of Articleship
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THE 
Payment Successful
22/Jan/2021 OF
INSTITUTE
CHARTERED ACCOUNTANTS
Membership No. of the Member / Paid Assistant under whom Articleship will be done
OF INDIA

Application
527334
Sequence Number ARG2379053
(SETUP BY AN ACT OF PARLIAMENT)
Amount
Name of the Member 3000.0
ANIL KUMAR CHAURASIA
Transaction ID 20210915111212800110168380742089400
Status of the Member
Order ID
FCP ARG237905320210915114616594

Firm under which Articleship will be done


017131C OK
Name of the Firm
C S A & ASSOCIATES

Member
Status in Firm
Partner

Expected Date of Completion


21/Jan/2024

Form Submission Date


15/09/2021

First Submission Date(dd/MMM/yyyy)


15/Sep/2021

Deed Details

Date on which Articles of Apprentice is made


22/Jan/2021

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15/09/2021 Industrial Training Registration (Form 104)

Period for which Articleship is agreed upon


3 Years 0 Months 0 Days
Payment Details x
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Payment
THE INSTITUTE OF
CHARTERED ACCOUNTANTS
Successful
OF INDIA
Form
Application Sequence Number
102 pdf ARG2379053
(SETUP BY Click
AN ACThereOF
to PARLIAMENT)
Download.
Amount 3000.0
Stipend Details
Transaction
Click here toID
Download. 20210915111212800110168380742089400

Attendance
sheet
Order ID ARG237905320210915114616594
Click here to Download.

Work Diary
OK
Click here to Download.

Delay Condonation Letter


Click here to Download.

Father/Husband Address Details

Name
ABID ALI KHAN

Country
INDIA

State
UTTAR PRADESH

District
ALLAHABAD

City
ALLAHABAD
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15/09/2021 Industrial Training Registration (Form 104)

Address
Line 1
218/12A
Payment Details
Address
Line 2 x
MAHFUJUL NAGAR
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CHARTERED
Payment Successful
Address
Line 3
THE INSTITUTE OF
NEW MEHDAURI
ACCOUNTANTS
OF INDIA
Address
Line
Application Sequence Number
4 ARG2379053
(SETUP BY TELIARGANJ
AN ACT OF PARLIAMENT)
Amount 3000.0
Pincode
Transaction ID 20210915111212800110168380742089400
211004

Order ID
Email ARG237905320210915114616594
7trp090109@gmail.com

Mobile
Number
OK
8840838148

Other Engagement Details

Whether the
articled assistant/audit clerk is actively engaged in
any other business or occupation during the articleship
period?
No

Whether the
articled assistant/audit clerk has taken up any other
course of study academic or professional
No

Registration Details

Registration as an Articled Assistant / Audit Assistant when


a student

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15/09/2021 Industrial Training Registration (Form 104)

has registered in Intermediate course/ Direct Entry Scheme and eligible for articleship

Payment Details x

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THE PersonalPayment Successful
INSTITUTEDetails
OF
CHARTERED ACCOUNTANTS
OF INDIA
Application Sequence Number ARG2379053
First Name Gender
(SETUP BY AN ACT OF PARLIAMENT)
Amount
MAJID KHAN 3000.0 MALE

Transaction ID 20210915111212800110168380742089400
Date of Birth Pan Card Number
Order ID
23/May/1982 ARG237905320210915114616594
BAUPK5884R

Nationality Whether Physically Challenged


OK
INDIAN NO

Permanent Address Details

Address Line 1 Address Line 2


218/12A MAHFUJUL NAGAR NEW MEHDAURI

Address Line 3 Address Line 4


TELIYARGANJ ALLAHABAD

Country State
INDIA UTTAR PRADESH

City Pincode

https://eservices.icai.org/EForms/PayTMAfterPaymentAction.do?57666ZZ1666ZZonline 5/13
15/09/2021 Industrial Training Registration (Form 104)

ALLAHABAD 211004

Payment Details
Is Permanent address same as Present address x
N
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Payment
THE INSTITUTE OF
CHARTERED ACCOUNTANTS
Successful
OF INDIA
Application Sequence Number ARG2379053

Correspondence
(SETUP Address Details
BY AN ACT OF PARLIAMENT)
Amount 3000.0

Transaction ID 20210915111212800110168380742089400
Address Line 1 Address Line 2
Order ID
218/12A MAHFUJUL NAGAR ARG237905320210915114616594
NEW MEHDAURI

Address Line 3 Address Line 4


OK
TELIYARGANJ ALLAHABAD

Country State
INDIA UTTAR PRADESH

City Pincode
ALLAHABAD 211004

Personal Communication Details

Phone Number Email Id


0 7trp090109@gmail.com

Mobile Number

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15/09/2021 Industrial Training Registration (Form 104)

8840838148

Payment Details x

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Payment Successful
THE Education
INSTITUTE Qualifications
OF
CHARTERED ACCOUNTANTS
OF INDIA
Application Sequence Number ARG2379053
(SETUP BY AN ACT OF PARLIAMENT)
Amount
Class X 3000.0

Transaction ID 20210915111212800110168380742089400
Board/University Course Name
Order ID ARG237905320210915114616594
CENTRAL BOARD OF SECONDARY EDUCATION (CBS NA

Roll No Year Of Passing


OK
5169308 1997

Result Marks obtained


PASSED 275

Maximum Marks Percentage


500 55.00

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15/09/2021 Industrial Training Registration (Form 104)

Class XII 
Payment Details
Board/University Course Name
x
CENTRAL BOARD OF SECONDARY EDUCATION (CBS NA
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CHARTERED

Payment
THE INSTITUTE
No
OF Successful
RollACCOUNTANTS Year Of Passing
OF INDIA
Application
5224161 Sequence Number ARG2379053
1999
(SETUP BY AN ACT OF PARLIAMENT)
Amount 3000.0
Result Marks obtained
Transaction
PASSED ID 20210915111212800110168380742089400
350

Order ID ARG237905320210915114616594
Maximum Marks Percentage
500 70.00
OK

Graduation Details 

Board/University Course Name


UNIVERSITY OF ALLAHABAD ZROCOURSE026

Roll No Year Of Passing


320218 2002

Result Marks obtained


PASSED 1111

Maximum Marks Percentage


1900 58.47

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15/09/2021 Industrial Training Registration (Form 104)

Board/University Course Name


UNIVERSITY OF ALLAHABAD ZROCOURSE003
Payment Details x
Roll No Year Of Passing
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Payment
THE INSTITUTE
320218
OF
CHARTERED ACCOUNTANTS
Successful
2002

Result Sequence Number


OF INDIA
Application Marks obtained
ARG2379053
(SETUP BY ANPASSED
ACT OF PARLIAMENT) 1111
Amount 3000.0

MaximumIDMarks
Transaction Percentage
20210915111212800110168380742089400
1900 58.47
Order ID ARG237905320210915114616594

Board/University OK Course Name


GRADUATION

Roll No Year Of Passing


2002

Result Marks obtained


Passed 0

Maximum Marks Percentage


0 0

Post Graduation Details 

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15/09/2021 Industrial Training Registration (Form 104)

Additional Qualification 
Payment Details x

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THE Course 
Payment
INSTITUTE
DetailsOF
CHARTERED ACCOUNTANTS
Successful
OF INDIA
Application Sequence Number ARG2379053
(SETUP BY AN ACT OF PARLIAMENT)
Study Material Language
Amount 3000.0
ENGLISH
Transaction ID 20210915111212800110168380742089400

Order ID ARG237905320210915114616594

Details of Previous Employer


OK

Do you have any partially completed article services?


No

Details of Present Employer

Membership No. Name


527334 ANIL KUMAR CHAURASIA

Address Line 1 Address Line 2


1144 25 FEET ROAD

Address Line 3 Country


LANE NO 33, B BLOCK INDIA

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15/09/2021 Industrial Training Registration (Form 104)

State District
DELHI DELHI
Payment Details x
City Pin Code
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DELHI
Payment
THE INSTITUTE OF
CHARTERED ACCOUNTANTS
Successful
110084

Phone Email Address


OF INDIA

Application Sequence Number ARG2379053


(SETUP BY
0 AN ACT OF PARLIAMENT) anilkumarca2008@gmail.com
Amount 3000.0

Mobile Number
Transaction ID 20210915111212800110168380742089400
7376373711
Order ID ARG237905320210915114616594

OK
COP Details

Date from which the member is continuously holding the No. of completed years of Practice (As on Articleship
Certificate of Practice Commencement Date)
24/Aug/2012 8 years

Firm Details

Name of the Firm Member's Status


C S A & ASSOCIATES Partner

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15/09/2021 Industrial Training Registration (Form 104)

Employer's Other Engagements


Payment Details x


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Whether the member is engaged in any(/EForms/pdf/onlineAppForm/form58146/ArticleForm102.pdf)
 Help other business or
THE 
Payment Successful
INSTITUTE OF
occupation at present
CHARTERED ACCOUNTANTS
NoApplication Sequence Number
OF INDIA
ARG2379053
(SETUP BY AN ACT OF PARLIAMENT)
Amount 3000.0

Transaction ID 20210915111212800110168380742089400
Names of articled assistants already undergoing training
Order ID
with the member
ARG237905320210915114616594

OK
Registration Date of Expected End
Sr No. Student Name Status
No Commencement Date

1 MAJID KHAN CRO0163681 Requested 22/Jan/2021 21/Jan/2024

2 AKHILESH MISHRA CRO0702834 Registered 16/Jan/2021 15/Jan/2024

Payment Details

Condonation Fee
2000

Articleship Registration Fee


1000

Total Amount Paid


3000.0

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15/09/2021 Industrial Training Registration (Form 104)

Payment Mode
online
Payment Details
Payment Status x
Success
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THE  Payment Transaction Number
Payment Successful
INSTITUTE OF
20210915111212800110168380742089400
CHARTERED ACCOUNTANTS
OF INDIA
Application
PaymentSequence Number
Receipt Number ARG2379053
(SETUP BY AN125836269435
ACT OF PARLIAMENT)
Amount 3000.0

Transaction ID 20210915111212800110168380742089400
Version 14.03.01

Order ID ARG237905320210915114616594

OK

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