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CFA Program Deferral Certification Form

For a Death in the Family

PARTH VERMA
CANDIDATE FULL NAME AS DISPAYED IN CFA INSTITUTE RECORD
7,238,820 parthverma.ias@gmail.com
CFA INSTITUTE IDENTIFICATION # EMAIL ADRESS AS DISPLAYED IN CFA INSTITUTE RECORD

30-08-2022
EXAM DATE

Surajmal Verma
NAME OF DECEASED

Grandfather 19-Aug-2022
RELATIONSHIP TO CANDIDATE DATE OF DEATH (DAY/MONTH/YEAR)

By signing this form, I agree that I have provided truthful and accurate information regarding my deferral
request. I understand that providing false and/or inaccurate information may be deemed as a violation
by the CFA Institute Professional Conduct department, result in disciplinary sanction, and consequently
impact future registrations.

20-Aug-2022
CANDIDATE SIGNATURE DATE (DAY/MONTH/YEAR)

Upload your document at https://cfaprogram.cfainstitute.org/documents/upload within 14 days of your request.

2022

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