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The Institute of Chartered Accountants of India

INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - DECEMBER
2021 (New Syllabus)

CANDIDATE DETAILS
Name of Candidate : KRISH SANJAY BHANDARI
DOB: 21/12/2002 Gender : Male
Registration No : WRO0712039 E Mail : krishbhandari2112@gmail.com
Applied Date: 29/09/2021 Control No: 2214197401
Medium Opted : English Landline No: -
Exam Applied : Intermediate Both Groups
Examination Centre : MUMBAI - II Center Code: 1040 2214197401
State of Exam Centre/UT : MAHARASHTRA
Mobile No : 8454039060
Father's Name: SANJAY MANMAL BHANDARI
Registration date of Intermediate/ATC:
Date of commencement of articleship
Group I/ATC : 25/02/2021
training: Nil
Group II : 25/02/2021
PIN : 2112 Differently Abled : NO
ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)

Exam Passed MONTH & YEAR Roll No.

Foundation 11, 2020 673823

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: 29/09/2021 Bank Transaction No: EFIN_WRO0712039_1250405296

DETAILS FOR DETERMINING ELIGIBILITY

(i)(a) Registered For Intermediate on or before 01st April, 2021 based on having passed : Foundation
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The Institute of Chartered Accountants of India

INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION -
DECEMBER 2021

Registration No : WRO0712039 Control No: 2214197401

DECLARATION
1. I KRISH SANJAY BHANDARI son/daughter of SANJAY MANMAL BHANDARI request for permission to present myself at the Intermediate Examination to be held in DEC 2021 by the Institute of Chartered
Accountants of India and hold valid registration for appearing in Intermediate Examination to be held in DEC 2021.
2. I declare that I am eligible to appear in the Intermediate Examination as I have passed the PEE-I / 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 April, 2021 ; 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 completed/would be completing 9 months of article ship including 8 months of study course as
on 01st December, 2021 ; 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 December, 2021; 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
April, 2021 and completed or would be completing 8 months study course as on 01st December, 2021 ; 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 December, 2021 ; 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 November, 2021./ I registered for
Intermediate course through CPT/FOUNDATION route and appeared in the Intermediate Examination in one or both groups but did not qualify both the groups or either of the groups and now converted to Direct Entry
Scheme and commenced / would be commencing practical training on or before 30th November, 2021.
10. I have registered for the group(s) / level in which I wish to appear in DEC 2021.
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 : KRISH SANJAY BHANDARI

Address : 4 B-2 SINDHI COLONY
OPPOSITE GURUKRUPA HOTEL, SION
WEST
MUMBAI
MAHARASHTRA, Pincode: 400022
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 KRISH SANJAY BHANDARI. 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
Important: Please do not fold this document while posting
Officer with Membership NO.& Office seal