1:35PM |0.OKB/s .

ll oll 62

eservices.icai.org/EForms/Pay1 O
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
(SETUP BY AN ACT OF PARLIAMENT)

Reglstration Form for Foundation Course

Applicant Details

Application Status
Submitted

Next Level Approveris

Verifier

Provisional Registration Details

Region Provisional Registration

EAST

Course Confirmation Date

Candidate Personal Details

Application Number Student Registration Number

SFDOO56719 3368287

Salutation First Name

Mr. SAGAR

Last Name Gender

ROY MALE

Marital Status Father's Name

UNMARRIED sUSANTA KUMAR ROY

Mother Name Guardian's Name

RINA ROY SUSANTA KUMAR ROY

Mobile Number E-Mail Address

8777872484 sagarronaldo608@gmail.com

Date Of Birth Category

26/Sep/2004

Nationality GSTIN Number

INDIAN NA

Passport Number Are You Staff Ward

R1733136 NO

Blood Group Death Of Any Parent During Covid-19 Pandemic

O+ NO

Disa Qualified

Correspondence Address

Address Line 1 Address Line 2

DUTTAPUKUR GANGAPUR BELTALA

Address Line 3 Address Line 4

DUTTAPUKUR DUTTAPUUR

Country State
INDIA WEST BENGAL

A +
 1:35PMI0.0KB/s
THE INSTITUTE OF CHARTERED ACCOoUNTANTS OF INDIA
(SETUP BY AN ACT OF PARLIAMENT)
Registration Form for Foundation Course

Country State
INDIA WEST BENGAL

District City
NORTH 24 PARGANAS BARASAT

Branch Name Pincode

NON BRANCH CITY 743248

Is Permanent Address Same As Correspondence Address?

Y

Permanent Address

Address Line 1 Address Line 2

DUTTAPUKUR GANGAPUR BELTALA

Address Line 3 Address Line 4

DUTTAPUKUR DUTTAPUUR

Country State

INDIA WEST BENGAL

District Ity
NORTH 24 PARGANAS BARASAT

Pin Code
743248

Qualifications Details

Result
Month and
CGPA Uploaded document
Examination Roll No Board/Authority/University year of
Awalted/Passed Marks Maximum Percentage (Grade)
examination
ODtaineu Marks

Classx 12139558 cENTRAL BOARD OF MAR 2020 PASSED 270 500 54.00 Download
SECONDARY EDUCATION
(CBSE)

Other Details

Medium Of Study (Study Material Require In)

ENGLISH

Uploaded Documents

Description Documents

Photo

SIgnature

Payment Details

Payment Mode Payment Status Payment Transaction order Id

online Success 202112051112128001101686E SFDOO671920211205132119

Payment Receipt No. Payment Date

174635947047 05/Dec/2021

Discounted Fee
Fee Description Actual Fee Amount Discount (AS GST (as applicable)
Amount Applicable)

FOUNDATION TUTION 9000/- 9000.0/- % NA

EE

FOUNDATION 200/ 200.0/- NA

PROSPECTUS FEE

Total Amount 9200.0/- NA

9200.0/ NA

NetPayable 9200.0/