WRO0498226-IPC.pdf

Exam Passed MONTH & YEAR Roll No.,

The Institute of Chartered Accountants of IndiaINTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION /

ACCOUNTING TECHNICIAN EXAMINATION - NOVEMBER 2014

CANDIDATE DETAILSName of Candidate : IBRAHIM UMIDALLI KHANDOB: 19/12/1995 Gender : MaleRegistration No : WRO0498226 E Mail : [email protected] Date: 27/08/2014 Control No: 4652695Medium Opted : English Landline No: - Exam Applied : Intermediate (IPCE) Both GroupsExamination Centre : Mumbai VCenter Code: 124Mobile No : 8097665417 Father's Name: UMIDALLI KHAN Conversion / Registration date of Intermediate(IPCC)/ATC: 22/07/2013 Revalidation Date: -PIN :4001 Differently Abled :No ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS (IF APPLICABLE)

PARTIAL INTERMEDIATE (PASSED ON OR AFTER NOVEMBER 1994)/ PEE-II/ PCE/ I(IPC)E EXAMINATION PASSING DETAILSExam Passed MONTH & YEAR Roll No.

EXEMPTION DETAILS OF EXEMPTION SECURED IN I(IPC)E/ATE Month & Year Roll No. P1 P2 P3 P4 P5 P6 P7

PAYMENT DETAILSTotal Amount: 1600 INR Transaction Date: 27/08/2014 Bank Transaction No: EFI_WRO0498226_1253738724

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Registration No : WRO0498226 Control No: 4652695

DECLARATION BY THE STUDENT1. I IBRAHIM UMIDALLI KHAN son/daughter of UMIDALLI KHAN request for permission to present myself at the Intermediate (IPC) /Accounting Technician Examinationto be held in NOVEMBER 2014 by the Institute of Chartered Accountants of India and hold valid registration for appearing in Intermediate(IPC) Examination to be heldin NOVEMBER 2014.2. 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 completedeight months study course in IPCC.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 theCentral Govt. and have registered for Intermediate (IPC) course / ATC on or before 01st March, 2014 as per registration letter received from the Regional Office; 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 Regulations1988 or Professional Education (Course II) under sub-regulation (1) of regulation 28A or Professional Competence Course under Regulation 28 C of the CharteredAccountants Regulations , 1988 and have already converted into the Intermediate (IPC) Course/Accounting Technician Course (ATC).5. I registered for Intermediate (IPC) course/ATC under the Direct Entry Scheme, under Graduate/Post Graduate category and commenced articled training on or before01st February, 2014 & completed/would be completing 9 months of articled training (including 8 months of study course) as on 01st Nov, 2014 as per article registrationletter received from the Regional office.6. I converted to Intermediate (IPC) course /ATC from erstwhile Intermediate or CPT or PE-II or PCC or IPCC,under Direct Entry Scheme, under Graduate/PostGraduate category and commenced articled trainging on or before 01st February, 2014 & completed/would be completing 9 months of articled training (including 8months of study course) as on 01st Nov, 2014 as per article registration letter received from the Regional office.7. I registered for Intermediate (IPC) course/ATC, under Direct Entry Scheme, having passed the Intermediate level examination of the Institute of Cost Accountants ofIndia/The Institute of Company Secretaries of India, on or before 01st March, 2014 and completed or would be completing 8 months study course as per registrationletter issued by Regional Office.8. I converted to Intermediate (IPC) course /ATC, from erstwhile Intermediate/CPT/PE-II/PCC or IPCC, under the Direct Entry Scheme, having passed the IntermediateLevel 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 Nov, 2014 as per article registration letter received from the Regional office.9. 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 shallbecome invalid if I make wrong declaration and undertake to abide by the decision of the Council in such a situation.

Signature of the candidate(Sign within the box with black pen)

Paste firmly with glue oradhessive like fevicol

(Do not staple) a recentcolor photograph of size

3.5 X 4.5 cms

Name : IBRAHIM UMIDALLI KHANAddress : RN 69 TRANJIST CAMP 2 RM ROAD

OSHIWARA JOGESHWARI WESTMUMBAIMAHARASHTRA, Pincode:400102INDIA

I do hereby certify that the photograph affixed above is that of Mr./Ms IBRAHIM UMIDALLI KHAN who has signed in my presence.The particulars as furnished on thisform have been verified by me and found correct with reference to the documents produced before me by the candidate.Date: Place:

Important: Please do not fold this document while posting Name & Signature of the Member of ICAI/ Principal / Gazetted Officerwith Membership NO.& Office seal

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Registration No : WRO0498226 Control No: 4652695

DETAILS FOR DETERMINING ELIGIBILITY(i) Registered For Intermediate (IPCC)/ATC on or before 01st March, 2014 based on having passed : CPT and 10+2 exam passed

**************************************************Certificate of service:

For candidates who registered for/converted to Intermediate (IPC) course under the Direct Entry Scheme under the categorygraduates/post graduates and commenced articleship on or before 01st February, 2014

I _____________________________________ hereby certify that Mr/Ms _____________________________________ is presently servingunder me as articled assistant and completed or will be completing 9 months of articled training as 01st Nov, 2014.

Student Regn. No:___________________________

Date: ___________________________

Place: __________________________ Signature of the articled assistant Signature of Principal ICAI membership No. _____________________________

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WRO0498226-IPC.pdf

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