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Form'lO8'
[See Regulations 50 and 6 I l rlJ
THE INSTITUTE OF CHARTERED ACCOUNIANTS OF INDIA
certificate of Service Under Artiles

space tor offi.ial stamp

of

do hereby certify lhat Shti / Ms (Name of the Firml

N IA E 0 tr S T u D E f.\ T

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served as an articted assistant under me in accordance with the Chartered Accountants Regulations,
(u[" ol stovAill )
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roraperiodor mffiffi rrom
dgb b I L r1 \ 3

to 1s t) :L 'o \ (, that his / her progress was satisfactory and that to the best of my
*,ro*ffi L Lo.*!iul\ux lqle o[
Lo".!\rn\\ot tq-le oli A"u.c\ez\i[
A-"rrc\egh\\r )
further certify that during the above-mentioned period the articled assistant was given leave for
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E[Efz-l ,"r'rL \\ut^qER ot LEFvES]

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I further certify that I have paid to the articled assistant a minimum monthly stiPend at the rates sPecitied in
the Regulations and that the stipend was paid by crossed account payee cheques every month/" dePosited
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by me every month in his account (numberl \ 2 al

{'t I8o li
\ (t I| B t/9 I| with
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L Frut- RRut< JPrnu
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A U Branch of the
0 lrrrame orthe Sanl(l-l OF S\U!EI\1-
q ft \'\ \< o F A T 3 I fr
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The articles were duly registered with the Council of the lnstltute of Chartered Accounants of lndia

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MdeResistrationNoffi"t s 6 FT ol--|--l sienature

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Ivithin the F rame onlyl

Name in block letters

Membership No- 0 L\ l ')_ o a

N A t^ E 0 F e R T f.\ c I t) 0

Date:
) 3 0 3 L o 6

Place:
T A : ! U tL
(* Delete words not applicablel
Studerrt Forrr- IOA Page I of 5.
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,llJItrtr[!illrlrLul!uil

I\Uithih the ,nme onlyl

Signature of the articled assistant

(Regn. No. I (_ \l o o 1 3 L\ 5- (
Student's Address for CorresPondence
Address
f ASD\qFSS of SfU.grn'r ]

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City ,rrr".*" fT--l
le

Phone No-
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with STD code

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Country

Note:
within 30 days. ln case of delay in filing the form beyond
The form should be submitted to the office of the lnstitute
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the stipulated period, it has to be accomp anied by a request fo)condination and appr6priate c-onaonation fee as
per the following schedule:
(il Delay upto 30 days beyond the initial Period Rs. I ool-
(iil Delay between 31 days - lS0days
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Rs. 300/-
(iiil Delay beyond l8l clays Rs. I,OOol-

REPORT OF PRACTICAL TRAINING

(Refer to Paragraph 25-, of Training Guide)
{Applicable to Afticled Assistant registered Prior to lst January 2OO3l

Name of the Firm Name of MIT {lf anyl

Name of the Principal Name of the Trainee

I
m studenr Forr,-l08 Page 2 of s

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Principal's MembershipNo- Trainee's Registration No.

0 \ j L D C R o o ? 3 \ s- 6

Period: From tr D 3 1 L\ \ I To
a: 9 0 L L o L

(Time spent in weeksl

Category of work Experience

First Year second Year Third Year

A. Financial & Management Accounting

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B. Auditing (including internal Auditl
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C. Taxation

D, Managemeht Services
ul e. m m
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E. lnformation Technology
E E m
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m E m
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F. Other areas, if any, please specify

E E U
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G. Secondment, exchange, ifany

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General Comments / Remarks :

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tnye hereby certify that the aforesaid information is based on Training Records maintained in the office.

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,ilIILtttLl!ilil|!tLu|]llil l.nir,c\ o-\ (U/ithin the Frame oDlY)

Silno \.txc Signature

P ncipal/ Member-iD<hargelTrainingl

Membership No.

Place :

Date :

Note : General comments may include information on levels of Progression.

Student ForrrF I og Page 3 o, 5.

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REPORT OF PRACTICAL TRAINING

(Appficable for Articled Assistant registered on or after lst January 2oo3l
Personal Details

Registration No: C- \\ o C L \ LIT (

Name of the Trainee: 1- nto*." ol
S +'\A
Date of Commenement of articleshiP training: o o l 1_ tS l "vl-Q-

Name of the Member-iFcharge (Trainingl (MlTl:

Membership No:

Name of the PrinciPal

NIA t,r L o F ! &! N I) A L

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Membership No. o \ 3 L o

e.
dg
Firm No.
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Periodfrom -+ c o 3 e 3 To Ja 0 L 15 A
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1
\-rov.\r"X \e...iotr
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Mandatory
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A- Details of Work Undertzken and Truining Received:
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LI:
Time spent in Weeks
Sr. No. Particulars
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Year , Year 2 Year 3

t. Accounting m m ffi
. Auditing[includin g lntemalAudit/ Management Audit] tE m M
m. Taxation m m m
tv. lnformation Technology M ffi M
Management Consultancy & Other Services (including
financial management and corporate affairsl m @ ffi
vt. other Areas (to be sPecified) m tDIll ltvl m
Srudent Form-IoB Page 4 ofs.
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Optional

B. Summary of Professional (and Otherl Training Programmes Attended by Students (SOPTASf (separate
paper may be attached)

Sr- No Particulars No. of Hrs

t.
Et]E
lt. TEE
l.
EEE

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C. General Comments / Remarks, ifany

D- \ye hereby
e.
certify that the aforesaid information is based on Training records
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giXt^. si\n
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(\Yithin the Frame onlyl lwithin the Frame on,y] l\I/ithin the Flame only)
Signature Signature Signature
no

Student/ Trainee MIT Principal

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Place: Date:

T l\ I p U R
I l o 3 L o ( 6
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1. Any other area of work experience/ theoretical training . not falling under t}|e captions given, be
specified.
2. The number of days/weelG may be indicated on the basis of basic records such as daily time
sheets, diaries etc, and in the absence of any such records, it should be based on the best
estimate. The number of days/weeks related to each category may be equated based on the
/
standard number of worl(ing hours days per day/ weel<.
Separate record should be preferably maintained in regard to the worl( exPerience during
secondment/ exchange and should be counter-signed by such other member under whom the
uainee has had the work experience.
4. ln the Remarl6 column, of Summary of Professional (and otherl Training Programmes Attended
by Students (SOPTASI, state the name of the organizer and other details considered relevant.
5. This form should be signed by the Principal in all circumstances-

Student Forr,.lOa Page 5 or 5.

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