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The Institute of Chartered Accountants of India

FINAL (NEW) EXAMINATION - MAY 2022

CANDIDATE DETAILS
Name of Candidate : SOURABH
DOB : 30/03/1997 Gender : Male
Registration No : NRO0386016 Group Applied: First
Applied Date : 28/02/2022 Control No: 1228522283
Medium Opted : English Landline No: -
Examination Centre : JIND Center Code: 5021

State of Exam Centre/UT : HARYANA

1228522283
Paper 6: E Mail : gupta30031997@gmail.com
Mobile No : 9034886873 Old Article Registration No. : NRO0386016
Father's Name : SURESH PIN: 1234 Differently Abled : NO
Initial Date of Registration to Final(As given in Registration letter issued by Board of Studies,ICAI) : 26/07/2017
Date of Revalidation of Registration to Final (if original registration is more than 5 years old): Nil
DETAILS FOR DETERMINING ELIGIBILITY
CAT IV - IPCC: Completed/Completing 3 years of articleship training (including excess leave, if any) as on 30-04-2022
INTERMEDIATE / PE-II / PCE / IPCE / INTERMEDIATE(IPC) PASSING DETAILS
Group Name Exam Passed MM YYYY Roll No
Group I Intermediate 05 2016 193059
Group II Intermediate 05 2017 400908
LAST APPEARANCE DETAILS OF FINAL EXAM
Exam Appeared MM YYYY Roll No Result
Second 01 2021 795999 Passed
First 02 2022 187669 Failed
PASSING DETAILS OF FINAL (IF APPLICABLE)
Group MM YYYY Roll No.
Group II 01 2021 795999
EXEMPTION DETAILS
Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7 P8
PAYMENT DETAILS
Total Amount: 1800 INR Transaction Date: 28/02/2022 Bank Transaction No: EFFN_NRO0386016_7766067743
ARTICLESHIP DETAILS
Articleship Status: Completed Initial Date of Commencement: 26/07/2017 Completion / Due Date of Completion: 26/07/2020
DETAILS FOR ADVANCED ICITSS COURSE AND ADVANCED IT TEST : Whether completed Advanced ICITSS course and Advanced IT Test before 14th May, 2022 : Yes
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The Institute of Chartered Accountants of India

FINAL (NEW) EXAMINATION - MAY 2022

Registration No :NRO0386016 Control No: 1228522283

1228522283
I do hereby certify that the photograph and signature appearing below are that of Mr./Ms SOURABH. 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 : SOURABH
Address : SOURABH S/O SH SURESH
GOPAL NAGAR
JIND
JIND
HARYANA
Pincode: 126102, 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 2022
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 New course or I will be registering for the Final New course on or before
01st May 2022 (OR) I have converted for the Final New course on or before 13th March, 2022 from earlier scheme. 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 1st May 2022 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 2022.
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.