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The Institute of Chartered Accountants of India

INTERMEDIATE ( INTEGRATED PROFESSIONAL COMPETENCE ) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - MAY 2019 (Old Syllabus)

CANDIDATE DETAILS
Name of Candidate : PRIYANSHI JAIN
DOB: 28/07/1998 Gender : Female
Registration No : CRO0601325 E Mail : itspriyanshi.jain@gmail.com
Applied Date: 05/03/2019 Control No: 1194552884
Medium Opted : English Landline No: -
Exam Applied : Intermediate (IPC) Group-II
Examination Centre : INDORE - II 1194552884
Center Code: 431
Mobile No : 8827565165
Father's Name: ANIL JAIN
Registration date of Intermediate(IPC)/ATC:
Date of commencement of articleship
Group I/ATC : 21/02/2017
training: Nil
Group II : 21/02/2017
PIN : 1234 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) EXAMINATION PASSING DETAILS
Exam Passed MONTH & YEAR Roll No.
Group I Intermediate(IPC) May, 2018 383513
EXEMPTION SECURED IN INTERMEDIATE(IPC)/ATE
Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7
PAYMENT DETAILS

Total Amount: 1500 INR Transaction Date: 05/03/2019 Bank Transaction No: EFIO_CRO0601325_2885005479

DETAILS FOR DETERMINING ELIGIBILITY

(i) Registered For Intermediate (IPC)/ATC on or before 01st September, 2018 based on having passed : CPT & 10+2 exam passed
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The Institute of Chartered Accountants of India

INTERMEDIATE ( INTEGRATED PROFESSIONAL COMPETENCE ) EXAMINATION /
ACCOUNTING TECHNICIAN EXAMINATION - MAY 2019

Registration No : CRO0601325 Control No: 1194552884

1194552884
DECLARATION
1. I son/daughter of request for permission to present myself at the Intermediate (IPC) /Accounting Technician Examination to be held in MAY 2019 by the Institute of Chartered Accountants of India and hold valid
registration for appearing in Intermediate(IPC) Examination to be held in MAY 2019.
2. I declare that I am eligible to appear in the Intermediate (IPC) Examination /ATE as I have passed the PEE-I/Foundation/Entrance Examination and have completed eight months study course in Intermediate(IPC). 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 (IPC)
course / ATC on or before 01st September, 2018 ; or
4. I was 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 (IPC) Course/Accounting
Technician Course (ATC). or
5. I registered for Intermediate (IPC) course/ATC under the Direct Entry Scheme, under the Graduate/Post Graduate category and commenced articled training on or before 01st August, 2018 & completed/would be
completing 9 months of articled training (including 8 months of study course) as on 01st May, 2019. or
6. I converted to Intermediate (IPC) course /ATC from erstwhile Intermediate or PE-II or PCC or IPCE,under Direct Entry Scheme, under the Graduate/Post Graduate category and commenced articled training on or
before 01st August, 2018 & completed/would be completing 9 months of articled training (including 8 months of study course) as on 01st May, 2019 . or
7. I registered for Intermediate (IPC) course/ATC, 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, 2018 and completed or would be completing 8 months study course as on 01st May, 2019 .
8. I converted to Intermediate (IPC) course /ATC, from erstwhile Intermediate/PE-II/PCC or IPCE, 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, 2019. or
9. I registered for Intermediate(IPC) through CPT route and appeared in the Intermediate(IPC) examination in one or both groups but did not qualify both the Groups or either of the Groups and converted to
Intermediate(IPC) course under the Direct Entry Scheme and commenced / would be commencing practical training on or before 30th April, 2019
10. I have registered for the group(s) / level in which I wish to appear in May,2019. 11. 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 : PRIYANSHI JAIN

Address : D/O ANIL JAIN
SADAR BAZAR KESUR, DIST DHAR
INDORE
MADHYA PRADESH, Pincode: 454001
INDIA

Signature of the candidate

(Sign within the box with black pen)

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