Form-ICAB-10

THE INSTITUTE OF CHARTERED ACCOUNTANTS OF BANGLADESH

STATEMENT OF PARTICULARS TO BE SUBMITTED

FOR REGISTRATION AS ARTICLED STUDENT
(See Bye-law 108)

1. Name in full(in capital letters) : MD. TARIKUL ISLAM SHAWN

2. Father’s name : MD. ZULFIKER ALI

3. Mother’s name : LUCKY BEGUM
4. Address : C-9/20- Rajarbagh Police Line. Dhaka: 1217

5. Residential address Vill.-Dumdiya, Post- Varar hat, Thana-

Gopalgonj, District- Gopalgonj,

6. Nationality : Bangladeshi
7. Gender :Male
8. Religion :Islam
9. Date of birth :04/09/1995

10. Educational qualifications : 1. BBA, 2016

(Names of examinations and the year(s) of 2. H.S.C, 2012
passing to be given) 3. S.S.C, 20010
11. (i)Name and address of Principal under :Mohmmad Ali Kawsar, FCA
whom serving Mak& Co., Chartered Accountants
BSEC Bhaban, Level-11, 102 Kazi Nazrul
Islam Avenue, Kawran Bazar, Dhaka-1215

(ii) Date of commencement of articleship :27th day of August 2017

12. (i) Name and address of previous principles, :
if applicable

(ii) Date of commencement and termination :.............................................................................

from previous Principle with Registration
number if applicable
13. I declare that the particulars given above are true and correct to the best of my knowledge and belief
and I undertake to inform to the Council within thirty days of the change which may occur in the
information furnished above during the period of my training for the purpose of The Institute of
Chartered Accountants of Bangladesh Bye-Laws, 2004
I also undertake to abide by the rules and regulations of the Board of Studies of the Council as may be
in force from time to time during the period I am undergoing tuition/coaching/training.
 Place:Dhaka

Date: Signature of Articled Student

Mob: 01675808968
Email:

ENDORSEMENT BY PRINCIPAL

I hereby certify that Md. Tarikul Islam Shawn has successfully completed the probationary period from 13th
March, 2017 to 27th August, 2017

Signature of Principal
Enrolment number