FOUNDATION EXAMINA11ON- MAY 2022

DECLARATION BY THE STUDENT

AKSHm PRiyA S Son/Daughter of
M. SARAVANA KUMAR
on or before January 2022 or have converted to herchy declare that I am registered in the Foundation Course
Is
Foundation
02 and have
appeered 10+2examination / will be appearing inCourse
10+2
fromCPT course on or before 13th March
Examination. exumination before appearing in Foundation

I roquest for permission to appear at the Foundation exaniination conducted

Accountants of India scheduled by the Institute of
forn are true to the best of
to be held in
May 2022. I hereby declare that the particulars stated in this Chartered
my knowledge and belicf. I application
y self thatl am eligible to appear in ensuing Foundationhave read the Guidance Notes for candidates and
Exam to be held in May 2022 and I shall abide
satisfied
terras and conditions
contained therein. I understand that by the
previsional and subject to verification of my my admission to Foundation and resultthereof shall be
1988 and decision of the Council fulfilling the eligibility requirements in terms of the CA Regulations,
of ICAI. In the event of
applicaton form, I understand that I shall be denied the suppression or distortion of any fact made in this
adraitod / ppeared, my admission / result opportunity to appear in Foundation Exam and if aready
the decision of acquired shall be liable for outright cancellation. I aliso
the Institute in this regard shall be final and binding upon me and I shall abidc the understand that
by same.

Sign of Candidate Sign of Paren/Guardia

19:2
Attestation by Member of ICAI Head of the Educational
Institution /Gazetted Officer with Seal

isHIN HANTCKAN _do hereby certify that Ihave verified and satisfied thatthe
cardidate named above is registered for Foundation course with the
Board of Studies of the Institute onor
before 1st Jamuary 2022 /Converted to Foundation from the CPT on or before
13th March 2022 and has
10-2 eamination/ will be appearing in 10+2 examination before appeared in
appearing in Foundation Examination and is
eligible appear Foundation Exam. The particulars as furnished have been verificd by me and found to be correct
to in
with reference to the documents produced before me the candidate.
by

Dase 22 02.2022
Place: CoTM BAToRE
Membership No. of the Member of ICAI (if applicable)24 24S 8&
Sigatareof Member of ICA/Head of Educational Institution/ Gazetted Oicerr_Vak
Telepbone Nunber 626268630
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G.VISHNU MANICKAM B.Com, ACA,

CHARTERED ACCOUNTANT
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