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The Institute of Chartered Accountants of India

CANDIDATE DETAILS
Name of Candidate : KASHISH
DOB: 02/02/2000 Gender : Female
Registration No : NRO0476833 E Mail : [email protected]
Applied Date: 12/04/2021 Control No: 1214587808
Medium Opted : English Landline No: -
Exam Applied : Intermediate Both Groups
Examination Centre : AMRITSAR Center Code: 5002 1214587808
State of Exam Centre/UT : PUNJAB
Mobile No : 9780311284
Father's Name: RAKESH KUMAR
Registration date of Intermediate/ATC:
Date of commencement of articleship
Group I/ATC : 23/08/2019
training: Nil
Group II : 23/08/2019
PIN : 1845 Differently Abled : NO
ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)

Exam Passed MONTH & YEAR Roll No.

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: 2700 INR Transaction Date: 12/04/2021 Bank Transaction No: EFIN_NRO0476833_2022932651

DETAILS FOR DETERMINING ELIGIBILITY

(i)(a) Registered For Intermediate on or before 01st September, 2020 based on having passed : Foundation
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The Institute of Chartered Accountants of India

Registration No : NRO0476833 Control No: 1214587808

DECLARATION
1. I KASHISH son/daughter of RAKESH KUMAR request for permission to present myself at the Intermediate Examination to be held in MAY 2021 by the Institute of Chartered Accountants of India and hold valid
registration for appearing in Intermediate Examination to be held in MAY 2021.
2. I declare that I am eligible to appear in the Intermediate Examination as I have passed the PEE-I / Foundation /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, 2020 ; Or
4. 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
5. 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, 2021 ; Or
6. 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, 2021; Or
7. I registered provisionally for Intermediate Course/ATC till 31st July, 2020 and completed/would be completing 7.5 months of articleship as on 01st May, 2021 & also completed Orientation Course and IT training on or
before 31st December, 2020; Or
8. 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, 2020 and completed or would be completing 8 months study course as on 01st May, 2021 ; Or
9. 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, 2021 ; Or
10. 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, 2021./ 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, 2021.
11. I have registered for the group(s) / level in which I wish to appear in MAY 2021.
12. 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 : KASHISH
Address : 898 FGC ROAD CHAND AVENUE WARD 8
H.NO 898 RATAN SINGH CHOWNK FGC
RD.NEAR RAKESH KARYANA STORE
AMRITSAR
PUNJAB, Pincode: 143001
INDIA

Signature of the candidate

I do hereby certify that the photograph and signature appearing above are that of Mr./Ms KASHISH. 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