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This document is a declaration and curriculum vitae form for membership in the Institute of Certified Public Accountants. The form requests information such as name, contact details, professional titles and memberships, educational qualifications, work experience, computer skills, future career interests, personal details, and a declaration agreeing to the terms of membership. Upon completion, the signed and scanned form is to be uploaded for application to the Institute.

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SHAILESH
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33 views4 pages

Dec For Working

This document is a declaration and curriculum vitae form for membership in the Institute of Certified Public Accountants. The form requests information such as name, contact details, professional titles and memberships, educational qualifications, work experience, computer skills, future career interests, personal details, and a declaration agreeing to the terms of membership. Upon completion, the signed and scanned form is to be uploaded for application to the Institute.

Uploaded by

SHAILESH
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The Institute of Certified Public Accountants

4582 A, Sangli Ves, Guruwar Peth, Miraj 416410 Maharashtra India

(Reg No: Maharashtra/252/2015, Registered under the societies registration act, 1860)

(Website : www.icpaindia.org Email: [email protected] , [email protected])

Declaration cum CV
(Please complete this form, print and upload duly signed scanned copy)
Name: ………………………….
Email: ………………………[email protected] No: +91 ……………………….

Professional Titles: (Increase/ Decrease as necessary)


Title Designation Awarding Body Membership No

Educational Qualification: (Increase/ Decrease as necessary)


(Give relevant details starting from HSC Board Exam)
Course Board/ College/ Year of Percentage
Institute/Authority Passing

 Present Occupation: (Include Current and previous employer’s details)

 ………………………………………………………………………………………………………
 ………………………………………………………………………………………………………
 ………………………………………………………………………………………………………
 …………………………………………………………………..
The Institute of Certified Public Accountants
4582 A, Sangli Ves, Guruwar Peth, Miraj 416410 Maharashtra India

(Reg No: Maharashtra/252/2015, Registered under the societies registration act, 1860)

(Website : www.icpaindia.org Email: [email protected] , [email protected])

 Experience:
………………………………………………………………………………………………………….

Work History:

 ………………………………………………………………………………………………….

 Job Profile: …………………………..


1. ……………………………………………………………

2. ………………………………………………………………

3. ………………………………………………………………

4. ……………………………………………………………...

5. ……………………………………………………………….

Computer Literacy: (Attach certificates in the educational qualification section if


you have any)

 Knowledge of MS Office…………………………………………………………………………
 Knowledge of Accounting Package like Tally 9 Erp, Quick Books, or SAP any
Other………………………
 Do You use Taxation, Payroll or Other payroll packages?
 Are you handy with Internet Applications and E filing procedures like MCA 21 & Income Tax
India State Sales tax, EPF, ESIC, ACES portal of CBEC? ……………………………………………….
Any Other

Future Career Interest:


 Are you interested in Internal Auditing?.............................................................
Or Forensic Accounting & Fraud Examination?......................................................
Or International Taxation ? ……………………………………………………………………………
Or Any Other Area………………………………………………………………………………………..
The Institute of Certified Public Accountants
4582 A, Sangli Ves, Guruwar Peth, Miraj 416410 Maharashtra India

(Reg No: Maharashtra/252/2015, Registered under the societies registration act, 1860)

(Website : www.icpaindia.org Email: [email protected] , [email protected])

Personal Details:
 Name : …………………………………………………
 Address : …………………………………………………………….

 Office Address: …………………………………………………….


Branch : ………………………………………………
 Date of Birth : ……………………………………………………
 Marital Status : ………………………………………………………
 Languages Known : ……………………………………………….
 Sex : …………………………………………………………………….
The Institute of Certified Public Accountants
4582 A, Sangli Ves, Guruwar Peth, Miraj 416410 Maharashtra India

(Reg No: Maharashtra/252/2015, Registered under the societies registration act, 1860)

(Website : www.icpaindia.org Email: [email protected] , [email protected])

Declaration

If admitted into membership,

 I undertake to observe the provisions of the Memorandum and Articles of Association, Byelaws
and Regulatory System of the Institute of certified public accountants.
 I certify that the statements in support of my application are, to the best of my knowledge, true
and complete.
 I have not been convicted of any criminal offence, nor have I been disqualified as a Company
Director or Trustee,
 And I undertake to advise the Institute immediately should I be so convicted or disqualified.
 I also declare that I have not been subject to an adverse disciplinary finding from any
professional body at any time.
 If you have been subject to such a finding, conviction, spent or otherwise, or have been declared
bankrupt, can you please provide written details (in confidence) and submit with your
application. All such matters would be reviewed on a case by case basis.

 Further I declare that I am an Indian citizen, proof of which is been attached with this
application

 I have read all the conditions of eligibility for membership and I satisfy all of them, I have also
read the entire rules and regulations of the institute and I wish to voluntarily become member
of the same. I agree to pay all my membership dues in time

Signature ................................................................................ Date __ __/__ __/__ __

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