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The Institute of Chartered Accountants of India

INTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2014
CANDIDATE DETAILS Name of Candidate : PREETI BIMAL DOB: 19/03/1993 Registration No : CRO0409232 Applied Date: 09/02/2014 Medium Opted : English Gender : Female E Mail : preetibimal93@gmail.com Control No: 4116786 Landline No: -

Exam Applied : Intermediate (IPCE) Group-II Examination Centre : Ranchi Center Code: 442 Mobile No : 8935844038 Father's Name: OM PRAKASH BIMAL Registration date of Intermediate(IPCC)/ATC/Inter/PEE-II/PCC: 30/01/2012 PIN :8292 Differently Abled :No Revalidation Date: -

ENTRANCE/ FOUNDATION/ PEE-I/ CPT PASSING PARTICULARS Exam Passed CPT MONTH & YEAR 12, 2011 Roll No. 196208

PARTIAL INTERMEDIATE/ PEE-II/ PCE/ IPCE EXAMINATION PASSING DETAILS Exam Passed Group I IPCE MONTH & YEAR 11, 2013 Roll No. 340257

EXEMPTION DETAILS OF EXEMPTION SECURED IN ERSTWHILE PCE Month & Year Roll No P1 P2 P3 P4 P5 P6

EXEMPTION DETAILS OF EXEMPTION SECURED IN IPCE/ATE Month & Year 11/2013 PAYMENT DETAILS Total Amount: 1000 INR Transaction Date: 09/02/2014 Bank Transaction No: EFI_CRO0409232_1365718246 Roll No. 340257 P1 61 P2 P3 64 P4 P5 P6 P7

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The Institute of Chartered Accountants of India

INTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2014

Registration No :

CRO0409232

Control No:

4116786

DECLARATION BY THE STUDENT

1. I PREETI BIMAL son/daughter of OM PRAKASH BIMAL request for permission to present myself at the Intermediate (IPC) /Accounting Technician Examination to be held in MAY 2014 by the Institute of Chartered Accountants of India. 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; 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, 2013; 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) /Accounting Technician Course (ATC) and have completed 8 months from the date of registration in Intermediate /PE II/ PCC. 5. I registered for Intermediate (IPC) course/ATC under the Direct Entry Scheme, under Graduate/Post Graduate category and commenced articled training on or before 01st August, 2013 & completed/would be completing 9 months of articled training (including 8 months of study course) as on 01st May, 2014 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/Post Graduate category and commenced articled trainging on or before 01st August, 2013 & completed/would be completing 9 months of articled training (including 8 months of study course) as on 01st May, 2014 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, 2013. 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 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, 2014. 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 shall become invalid if I make wrong declaration and undertake to abide by the decision of the Council in such a situation.

Name : Paste firmly with glue or adhessive like fevicol (Do not staple) a recent Signature of the candidate (Sign within the box with black pen) color photograph of size 3.5 X 4.5 cms

PREETI BIMAL
SRI HANSH YOG SADHNA KODERMA JHARKHAND, Pincode:825409 INDIA

Address : D/O SHRI OM PRAKASH BIMAL

KENDRA,ASHRAM ROAD JHUMRI TELIYA

I do hereby certify that the photograph affixed above is that of Mr./Ms PREETI BIMAL who has signed in my presence.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: Important: Please do not fold this document while posting Name & Signature of the Member of ICAI/ Principal / Gazetted Officer with Membership NO.& Office seal

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The Institute of Chartered Accountants of India

INTERMEDIATE (INTEGRATED PROFESSIONAL COMPETENCE) EXAMINATION / ACCOUNTING TECHNICIAN EXAMINATION - MAY 2014

Registration No :

CRO0409232

Control No:

4116786

DETAILS FOR DETERMINING ELIGIBILITY (i) Registered For Intermediate (IPCC)/ATC on or before 01st September, 2013 based on having passed : CPT and 10+2 exam passed CCT / ITT CERTIFICATE DETAILS Certificate Name ITT Orientation Completion Details Completion Date : 20/07/2013 ************************************************** Certificate of service: For candidates who registered for/converted to Intermediate (IPC) course under the Direct Entry Scheme under the category graduates/post graduates and commenced articleship on or before 01st August, 2013 Certificate No. CI030/08/01930 Dated 25/06/2013

I _____________________________________ hereby certify that Mr/Ms _____________________________________ is presently serving under me as articled assistant and completed or will be completing 9 months of articled training as 01st May, 2014. Student Regn. No:___________________________ Date: ___________________________ Place: __________________________ Signature of the articled assistant Signature of Principal

ICAI membership No. _____________________________