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The Institute of Chartered Accountants of India

INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2022

CANDIDATE DETAILS
Name of Candidate : NEREDIBILLI CHANDRA SEKHAR
DOB: 30/01/2001 Gender : Male
Registration No : SRO0651608 E Mail : Chanduneredibilli858@gmail.com
Applied Date: 13/03/2022 Control No: 1224630612
Medium Opted : English Landline No: -
Exam Applied : Intermediate Group-I / ATE
Examination Centre : KAKINADA Center Code: 2043 1224630612
State of Exam Centre/UT : ANDHRA PRADESH
Mobile No : 7989393058
Father's Name: NEREDIBILLI ANNAVARAM
Registration date of Intermediate/ATC:
Date of commencement of articleship
Group I/ATC : 16/08/2018
training: Nil
Group II : 16/08/2018
PIN : 9999 Differently Abled : NO
ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)

Exam Passed MONTH & YEAR Roll No.

CPT 06, 2016 733688

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: 1500 INR Transaction Date: 13/03/2022 Bank Transaction No: EFIN_SRO0651608_4249151184

DETAILS FOR DETERMINING ELIGIBILITY

(i)(a) Registered For Intermediate on or before 01st September, 2021 based on having passed : CPT & 10+2 exam passed
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The Institute of Chartered Accountants of India

INTERMEDIATE EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2022

Registration No : SRO0651608 Control No: 1224630612

DECLARATION
1. I NEREDIBILLI CHANDRA SEKHAR son/daughter of NEREDIBILLI ANNAVARAM request for permission to present myself at the Intermediate Examination to be held in MAY 2022 by the Institute of Chartered
Accountants of India and hold valid registration for appearing in Intermediate Examination to be held in MAY 2022.
2. I declare that I am eligible to appear in the Intermediate Examination as I have passed the PEE-I / Foundation(prior to July 2021 exam) /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 September, 2021 ; Or
4. I declare that I am eligible to appear in the Intermediate examination as I have passed the Foundation in July 2021 examination and registered for Intermediate on or before 01st November, 2021 .
5. 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
6. I registered provisionally for Intermediate course and completed/would be completing 8.5 months of articleship including 8 months of study course as on 01st May, 2022 and also completed ICITSS on or before 31st
October 2021
7. 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 May, 2022 ; Or
8. 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 May, 2022; Or
9. 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
September, 2021 and completed or would be completing 8 months study course as on 01st May, 2022 ; Or
10. 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 May, 2022 ; Or
11. 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 April, 2022./ 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 April, 2022.
12. I have registered for the group(s) / level in which I wish to appear in MAY 2022.
13. 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 : NEREDIBILLI CHANDRA SEKHAR

Address : TURUPETA STREET
RAMVARAM ANAPARTHY, EAST GODAVARI
ANAPARTHY
ANDHRA PRADESH, Pincode: 533264
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 NEREDIBILLI CHANDRA SEKHAR. 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