Form "2"
[See Regulation 5(i)(a)]
The Institute of Chartered Accountants of India
Form of Application for Entry in the Register
To The Secretary The Institute
of Chartered Accountants of
India
Dear Sir,
I beg to apply that my name be entered in the Register. I hereby declare that I am not subject
to any of the disabilities stated in Section 8 of the Chartered Accountants Act, 1949. The
required particulars are furnished below:
1. Name in Full (Block Letters)
First Name
RAHUL
Middle Name
KUMAR
Last Name
SINGH
2. Father's Name
ASHOK KUMAR SINGH
3.Date of Birth 05/04/1997 4. Nationality INDIAN
5.Educational Qualification
Result
Examination Board / University Year Marks Max Result
Obtained Marks Status
X CBSE 2013 323 500 Passed
XII CBSE 2015 418 600 Passed
Applicants are requested to produce evidence of their age.
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Original diplomas/Certificates and/or other documents, or attested copies thereof, in support of qualification
must be sent with the application.
The year with the Roll Number(s) in which the applicant passed the various groups of
6.
the Final Examination:
Maximum Month Of
Group Details Roll Number Marks Obtained Year Of Passing
Marks Passing
Group 1 670272 220 400 2023 MAY
Group 2 173823 162 300 2024 MAY
BOTH
The name of the Chartered Accountant(s) in practice or the frm of Chartered Accountants in
7a. practice under whom the applicant served as an Articled Assistant/ Audit Assistant. The period
service together with the date of commencements and termination may be indicated
Sr
.N Name of Member Member From Date/ To Date Status
o.
1 NAGAR VIPIN 074041 25/04/2019 / 23/04/2020 Terminated
2 SINGH BHUPINDER 076030 16/06/2020 / OnHold
3 SINGH BHUPINDER 076030 16/06/2020 / Submitted
4 SINGH BHUPINDER 076030 16/06/2020 / Submitted
5 SINGH BHUPINDER 076030 16/06/2020 / 16/06/2022 Completed
Articles / Audit
7b. CRO0568300
Registration No.
Details of such other practical training which has been recognized by the council as
7c.
equivalent to practical training under the Chartered Accountants Regulations
Sr
.N Member Name Member No./Firm No. From Date/To Date Training Type
o.
8. Period of Residence Years Months Days
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in India
If not an Indian citizen, please state whether Certifcate of Indian Domicile has been
9.
obtained
10. Residential address
S/O SHRI ASHOK KUMAR SINGH , 311 / 3 SEC 6 , JAGRATI VIHAR
City MEERUT State Code UP
Pin 250004 Phone No. with STD Code / 7906894879
Country IND
Email Id RK812912@GMAIL.COM
Mobile No. 8126368596
11 (a) Professional address
311/3 SECTOR-6 , JAGRITI VIHAR , NEAR MANSHA DEVI MANDIR
City MEERUT State Code UP
Pin 250004 Phone No. with STD Code /
Country INDIA
Email Id RK812912@GMAIL.COM
Mobile No. 8126368596
11 (b) Principal place of Business
, ,
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City State
Pin
Country
11 (c) Other Places of Bussiness, if any:
1.
City State
Pin
Country
2.
City State
Pin
Country
3.
City State
Pin
Country
12. Whether the applicant is incharge of the place or places mentioned at 11 above? If
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not the name(s) and membership number(s) of the Institute who is/ are incharge of
that those place(s) and his/ their address (es).
If the applicant is a paid assistant to a Chartered Accountant in practice or in a firm of
13. such Chartered Accountants, name of the Chartered Accountant in practice or the firm
and from which date.
MRN / RFN Name of Member / Firm Date
If the applicant holds a salaried employment other than that covered by 13 above, full
14.
particulars thereof
Date of Joining Designation
Name of Employer
Address
City State Code
Pin
Whether the applicant intends to practice as Chartered Accountant under the Chartered
15.
Accountants Act, 1949.
N
Whether the applicant intends to continue the engagement at 13 or 14 above in the
16.
addition to practice.
Whether the applicant is engaged in any other business or occupation not covered by
17.
13 or 14 above, if so, full particulars thereof
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Date from which
Engaged
Designation
Name of Concern / Company
Whether the applicant was at any time debarred from practicing as an accountant and if
18.
so, the reason and the period of suspension
Rea Peri Dat
son od : e
If the applicant wishes to practice in a trade or firm name particulars of the trade or firm
19.
name, as the case may be, with alternative in the order of preference
If the applicant had taken any loan scholarship from the Institute, the total amount of
20.
loan scholarship received, the amount paid off and the balance outstanding
N
Balance
Total Amount Amount Paid
Amount
I hereby undertake that if my name is entered in the Register, I shall be bound by the
21. provisions of the Chartered Accountants Act, 1949 and the Regulations framed here
under or that may hereafter from time to time be made pursuant to the said Act.
1 The details of fee paid is as follows:
Fee Description Fee Amount GST (as applicable)
MEMBER ENTRANCE FEE 2000
E-JOURNAL DISCOUNT -500
MEMBERSHIP FEE -
1500
ASSOCIATE
Tax (CGST) 9%
Tax (SGST) 9%
Tax (IGST) 18% 540
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Total Amount (inclusive of taxes) 3540
Payment Status Payment Date
19/JUL/202
S
4
2. Documents submitted along with Form '2'
Attested copies of:
1. Letter of ICAI confirming completion of articled training.
2. Mark-sheets for both Groups of Final Examination of ICAI.
3. Date of Birth Certificate as per SSC/ Matriculation Examination.
4. Mark-sheet/ Degree of all Educational Qualifcations.
5. General Management & Communication Skill Course Certificate.
6. I-Card form duly completed.
If the Applicant is a Paid Assistant in a CA firm, please enclose a
7.
confirmation letter from the firm.
8. Copy of PAN Card
9. Copy of AITT certificate
Life membership of Chartered Accountant's Benevolent Fund
I hereby also apply for Life Membership of Chartered Accountants Benevolent Fund.
Application in the appropriate is sent herewith.
I also send herewith Rs. 5,000/- towards the subscription of Life Membership of the
"C.A.B.F."
Signature (Old) Signature (Current)
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