Form 109
Form 109
IARPITA PATRA ]
served as an articled assistant under me in accordance with the Charteted-Accountants Regulations,
( The articles are terminated by mutual consent with effect from I 13/May/2022
I further certify that during the above-mentioned period the articled assistant was given leave for
I 14 Idays.
I further certify that I have paid to the articled assistant a minimum monthly stipend at the rates specified in the
Regulations and that the stipend was paid by crossed account payee cheques every month
1ss1
The articles were duly registered with the Council of the Institute of Chartered Accountants of India
Place:
Date:
Address
IAT-PATRA SAHi
ICOLLEGE SQUARE
City ICUTTACK
State IODISHA I State Code joR
Phone No. with STD
Pin 1753003 Code
1917326813710
Country IIND
Mandatory
.
A Details of Work Undertaken and Training Received· .
(Time Spent In weeks)
Sr. No. Category of Work Experience
Year1 Year2 Year3
I. Accounting 4 0 0
Ill. Taxation 4 0 0
VI.
I.
II.
Ill.
r
MIT
.,,;;ace : Principal
Date:
Notes:
• Any other area of work experience/ theoretical training not falling under the captions given is specified.
• The
nd nurnber
th of days/ Weeks rnay be indicated on the basis of basic records such as dally time sheets, diaries etc.,
a in e absence of any such records, it should be based on the best estimate. The number of days/ weeks related
to each category rnay be equated based on the standard number of working hours/ days per day/ week.
• Separate record should be preferably maintained in regard to the work experience during seco ment/ exchange
nd nd
a should be counter-signed by such other member under whom the trainee has had the work experience.
• In the Rernarks colurnn, of Sumrnary of Professional (and Other) Trammg Programmes en
. . Att ded by Students (SOPT
AS), state the narne of the organizer and other details considered relevant.
• This form should be signed by the Principal in all circumstances.